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Tennessee rates for HCPCS 21408

Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,741.93 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$784.56 / $897.98 / $1,442.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,984.00 / $6,529.00 / $9,553.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.00 / $1,175.11 / $1,862.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$930.05 / $1,238.32 / $1,889.60
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $13,960.05 / $13,960.05
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,152.58 / $7,152.58 / $7,700.33
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
$803.23 / $1,016.22 / $1,906.76