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Tennessee rates for HCPCS 21275

Secondary revision of orbitocraniofacial reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.00 / $4,069.00 / $10,746.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.43 / $867.21 / $1,382.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,014.00 / $6,491.00 / $9,419.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.62 / $1,105.13 / $1,741.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.98 / $1,148.83 / $1,761.69
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,275.52 / $21,028.65 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,641.99 / $14,641.99 / $14,641.99
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
$744.32 / $953.67 / $1,777.69