go back

Tennessee rates for HCPCS 20957

Bone graft with microvascular anastomosis; metatarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,821.00 / $3,940.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,206.62 / $2,682.07 / $4,383.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,895.00 / $5,897.00 / $9,419.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,424.75 / $3,308.85 / $5,115.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,629.26 / $3,625.44 / $5,627.75
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $28,073.34 / $28,681.11
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,658.64 / $20,077.91 / $23,441.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,964.00 / $8,273.00 / $12,407.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,286.37 / $3,120.79 / $5,782.19