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Tennessee rates for HCPCS 23155

Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft)

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
$680.62 / $818.49 / $1,278.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,813.00 / $5,500.00 / $9,283.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.28 / $1,040.98 / $1,682.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.55 / $1,088.21 / $1,649.96
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,511.82 / $19,913.50 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,807.68 / $5,920.16 / $6,923.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.00 / $4,722.00 / $7,669.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.63 / $932.90 / $1,692.86