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Tennessee rates for HCPCS 19370

Revision Peri-Implant Capsule Breast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.50 / $3,401.00 / $7,602.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,228.63 / $5,740.50 / $13,379.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,201.00 / $3,927.00 / $5,959.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,765.18 / $8,723.79 / $26,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,259.00 / $4,567.00 / $7,669.00