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Tennessee rates for HCPCS 21440

Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.00 / $2,652.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.09 / $603.05 / $1,038.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,132.00 / $3,766.00 / $5,959.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.35 / $743.15 / $1,219.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.01 / $775.27 / $1,189.17
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $4,113.35 / $4,294.38
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,316.16 / $5,380.24 / $6,303.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,794.00 / $3,626.00 / $6,291.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.26 / $657.35 / $1,299.59