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Tennessee rates for HCPCS 12054

Repair Intermediate F/E/E/N/L&/Muc 7.6-12.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.48 / $1,829.00 / $6,681.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.30 / $301.52 / $445.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.00 / $1,522.00 / $2,330.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.10 / $344.67 / $540.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.61 / $392.49 / $697.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,506.90 / $1,540.74 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,594.80 / $2,732.88 / $3,199.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $794.00 / $2,577.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.85 / $406.28 / $704.96