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Tennessee rates for HCPCS 14021

Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$893.00 / $2,678.00 / $7,506.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.03 / $769.33 / $1,153.29
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.59 / $857.59 / $857.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,662.00 / $2,859.00 / $3,728.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.04 / $902.04 / $1,362.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.36 / $925.15 / $2,080.83
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,890.24 / $4,983.47 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,166.16 / $6,318.48 / $7,367.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,130.00 / $2,297.00 / $4,099.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.00 / $964.29 / $1,773.08