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Tennessee rates for HCPCS 21139

Rdctj Fhd Cntrg & Setback Ant Frontal Sinus Wall

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,821.00 / $2,920.36 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.25 / $1,066.88 / $1,738.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,430.00 / $5,467.00 / $9,283.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.17 / $1,401.29 / $2,217.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.74 / $1,442.52 / $2,246.91
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $16,547.20 / $16,547.20
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,050.27 / $10,050.27 / $10,050.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,799.00 / $5,709.00 / $10,111.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.20 / $1,215.64 / $2,340.38