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Tennessee rates for HCPCS 21366

Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including zygomatic arch and malar tripod; with bone grafting (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,256.00 / $3,329.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,076.94 / $1,246.77 / $2,041.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,014.00 / $5,588.00 / $9,283.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,186.46 / $1,623.06 / $2,573.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,271.05 / $1,687.99 / $2,627.82
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $11,659.12 / $11,892.32
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,657.29 / $9,657.29 / $10,871.25
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
$1,135.94 / $1,405.58 / $2,699.93