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Tennessee rates for HCPCS 15120

Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 %

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.65 / $1,803.30 / $5,169.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.12 / $792.87 / $1,094.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,917.00 / $3,611.00 / $5,959.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.53 / $900.94 / $1,342.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.73 / $912.79 / $2,024.23
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,740.12 / $4,840.97 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,001.12 / $6,098.64 / $7,153.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.00 / $4,567.00 / $7,604.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.23 / $993.74 / $1,715.05