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Tennessee rates for HCPCS 21743

Repair Pectus Excavatm/Carinatm Minly W/Thrsc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,656.00 / $3,939.75 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,390.37 / $1,530.73 / $2,440.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,201.00 / $3,880.00 / $5,959.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,490.48 / $2,162.46 / $3,388.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,518.69 / $2,102.19 / $3,311.32
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $28,774.24 / $29,700.80
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,045.20 / $14,268.77 / $14,268.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,372.00 / $6,090.00 / $12,183.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.92 / $1,632.45 / $3,225.73