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Tennessee rates for HCPCS 23174

Sequestrectomy (eg, for osteomyelitis or bone abscess), humeral head to surgical neck

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$781.00 / $2,311.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.67 / $777.63 / $1,222.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,056.00 / $5,486.00 / $9,272.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.54 / $992.24 / $1,608.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.55 / $1,043.33 / $1,575.19
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,330.92 / $16,394.00 / $19,913.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,170.75 / $7,170.75 / $7,170.75
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
$672.72 / $888.34 / $1,589.51