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Tennessee rates for HCPCS 21172

Rcnstj Superior-Lateral Orbital Rim & Lower Fhd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,805.13 / $3,926.44 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,652.75 / $2,048.14 / $3,334.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,014.00 / $6,138.00 / $9,283.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,882.92 / $2,584.19 / $4,104.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,970.17 / $2,633.04 / $4,105.80
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $18,995.43 / $19,537.04
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,610.56 / $15,018.16 / $18,890.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,604.00 / $5,898.00 / $11,506.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,739.81 / $2,283.50 / $4,218.47