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Tennessee rates for HCPCS 20697

App Mltpln Uni Xtrnl Fix Strtctc Adjmt Exchange

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,635.00 / $3,105.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,520.71 / $2,144.79 / $3,143.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.00 / $2,175.00 / $3,004.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,748.69 / $2,656.05 / $4,258.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,583.39 / $2,531.60 / $4,078.12
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $9,692.50 / $10,434.35
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,257.96 / $13,034.08 / $14,362.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.00 / $1,560.00 / $2,914.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,460.44 / $2,117.16 / $4,022.71