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Tennessee rates for HCPCS 21198

Osteotomy, mandible, segmental;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$952.09 / $2,683.00 / $12,729.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$937.92 / $1,102.94 / $1,762.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,276.00 / $6,794.00 / $12,048.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.45 / $1,515.09 / $2,356.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,089.93 / $1,500.95 / $2,325.56
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
$7,378.40 / $7,521.36 / $8,437.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,794.00 / $3,626.00 / $6,291.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,034.83 / $1,302.06 / $2,351.38