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Tennessee rates for HCPCS 22904

Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$920.85 / $2,311.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.15 / $1,231.03 / $2,173.21
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,138.29 / $2,138.29 / $2,138.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,132.00 / $3,728.00 / $5,878.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.59 / $1,343.69 / $2,190.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.59 / $1,473.01 / $2,245.56
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $6,817.20 / $6,817.20
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,456.56 / $7,648.56 / $8,965.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,128.00 / $2,297.00 / $4,326.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.62 / $1,402.76 / $2,437.65