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Tennessee rates for HCPCS 21616

Excision first and/or cervical rib; with sympathectomy

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
$621.23 / $724.05 / $1,158.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,056.00 / $5,486.00 / $9,419.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.68 / $1,011.61 / $1,545.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.23 / $1,035.77 / $1,477.11
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,592.23 / $5,727.54
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,925.30 / $7,925.30 / $7,925.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,964.00 / $8,273.00 / $12,407.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.30 / $910.91 / $1,540.22