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Tennessee rates for HCPCS 21345

Closed Tx Nasomaxillary Complex Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,219.84 / $3,940.00 / $10,746.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.80 / $743.81 / $1,222.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.00 / $2,272.00 / $3,777.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.19 / $968.44 / $1,485.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.42 / $979.05 / $1,494.98
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,428.30 / $4,541.82 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,995.00 / $6,724.95 / $6,797.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,130.00 / $2,297.00 / $4,099.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.37 / $912.51 / $1,635.41