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Tennessee rates for HCPCS 21465

Open treatment of mandibular condylar fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,100.00 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.97 / $868.45 / $1,278.53
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.66 / $473.66 / $473.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,695.00 / $5,467.00 / $9,419.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.74 / $1,200.65 / $1,845.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.08 / $1,200.34 / $1,817.41
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,484.39 / $21,125.75 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,584.09 / $8,584.09 / $8,584.09
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
$747.10 / $1,005.93 / $1,800.07