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Tennessee rates for HCPCS 21047

Exc B9 Tum/Cst Mndbl Xtr-Oral Osteot&Prtl Mndb

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,136.58 / $2,472.23 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,103.96 / $1,227.21 / $2,005.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,056.00 / $5,467.00 / $9,283.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,261.83 / $1,727.32 / $2,703.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,297.04 / $1,794.30 / $2,699.61
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,723.36 / $16,394.00 / $16,547.20
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,976.00 / $9,976.00 / $10,130.40
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
$1,127.34 / $1,491.08 / $2,724.14