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Tennessee rates for HCPCS 21143

Rcnstj Midface Lefort I 3/> Piece W/O Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,278.50 / $3,017.26 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,265.04 / $1,456.79 / $2,361.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,830.00 / $5,467.00 / $9,283.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,414.52 / $1,921.79 / $3,041.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,476.01 / $1,963.79 / $3,021.29
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $12,912.00 / $13,181.68
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,577.03 / $13,577.03 / $13,577.03
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
$1,272.85 / $1,570.29 / $2,956.11