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Tennessee rates for HCPCS 23900

Interthoracoscapular amputation (forequarter)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,821.00 / $2,895.39 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,169.10 / $1,424.15 / $2,220.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,691.00 / $6,991.00 / $13,081.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,320.91 / $1,808.13 / $2,854.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,429.48 / $1,902.44 / $2,883.65
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $25,306.40 / $25,830.56
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,963.04 / $10,168.40 / $11,883.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,964.00 / $8,273.00 / $12,407.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,229.81 / $1,588.25 / $2,832.15