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Tennessee rates for HCPCS 24900

Amputation, arm through humerus; with primary closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,421.52 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.63 / $754.08 / $1,183.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,433.00 / $7,133.00 / $13,623.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.68 / $957.89 / $1,520.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.55 / $1,013.12 / $1,531.60
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $6,096.65 / $6,186.11
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,479.44 / $5,560.48 / $6,630.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,959.00 / $8,273.00 / $12,407.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.40 / $832.35 / $1,545.53