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Tennessee rates for HCPCS 13122

Repair Complex Scalp/Arm/Leg Ea Addl 5 Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.67 / $1,367.00 / $6,681.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.98 / $101.76 / $151.91
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.00 / $150.82 / $150.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.00 / $145.00 / $623.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.50 / $123.96 / $200.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.93 / $135.94 / $259.64
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.89 / $399.57 / $12,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.84 / $904.80 / $1,056.08
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
$111.08 / $144.43 / $296.87