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Tennessee rates for HCPCS 21150

Reconstruction midface, LeFort II; anterior intrusion (eg, Treacher-Collins Syndrome)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,471.26 / $3,200.21 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,455.77 / $1,685.94 / $2,639.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,984.00 / $6,491.00 / $9,553.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,631.11 / $2,172.04 / $3,408.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,720.18 / $2,350.77 / $3,454.71
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $20,973.00 / $20,973.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,240.27 / $16,240.27 / $16,240.27
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
$1,450.98 / $1,915.16 / $3,493.06