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Tennessee rates for HCPCS 21740

Repair Pectus Excavatum/Carinatum Open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,103.00 / $2,683.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.05 / $1,049.01 / $1,658.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,014.00 / $6,563.00 / $11,975.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,002.69 / $1,405.02 / $2,204.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.83 / $1,456.00 / $2,130.05
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $16,067.66 / $16,454.20
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,908.28 / $11,477.92 / $11,477.92
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
$919.71 / $1,278.79 / $2,114.91