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Tennessee rates for HCPCS 21386

Open Tx Orbital Floor Blowout Fx Periorbital

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,150.00 / $2,940.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.67 / $710.11 / $1,102.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,984.00 / $5,486.00 / $9,419.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.38 / $908.34 / $1,449.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.28 / $935.56 / $1,365.35
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $13,960.05 / $13,960.05
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,008.36 / $6,008.36 / $6,008.36
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
$574.57 / $745.98 / $1,346.35