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Tennessee rates for HCPCS 20150

Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,821.00 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.47 / $980.41 / $1,622.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,132.00 / $3,728.00 / $5,878.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$952.60 / $1,275.66 / $2,027.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.08 / $1,330.66 / $2,052.27
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $8,957.00 / $8,957.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,243.84 / $7,387.20 / $8,635.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,905.00 / $6,073.00 / $10,287.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.45 / $1,106.30 / $2,009.69