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Tennessee rates for HCPCS 23172

Sequestrectomy (eg, for osteomyelitis or bone abscess), scapula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.00 / $2,311.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.42 / $582.03 / $912.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,917.00 / $3,611.00 / $5,878.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.85 / $734.58 / $1,176.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.79 / $770.42 / $1,175.43
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,242.88 / $8,957.00 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,332.49 / $4,332.49 / $4,980.53
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
$502.17 / $660.01 / $1,188.46