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Tennessee rates for HCPCS 15574

Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands or feet

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.00 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.50 / $778.52 / $1,022.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,610.00 / $2,800.00 / $3,710.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.43 / $936.97 / $1,401.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.27 / $957.10 / $2,162.31
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,973.04 / $5,197.08 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,256.32 / $6,232.16 / $7,267.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,130.00 / $2,260.00 / $4,035.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.75 / $978.77 / $1,787.31