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Tennessee rates for HCPCS 15576

Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.00 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.62 / $694.19 / $929.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,662.00 / $2,867.00 / $3,728.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.33 / $832.72 / $1,257.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.84 / $854.06 / $1,914.94
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,476.54 / $4,557.24 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,742.56 / $5,701.68 / $6,597.00
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
$738.94 / $873.51 / $1,590.00