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Tennessee rates for HCPCS 24930

Amputation Arm Thru Humerus Re-Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,494.24 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.41 / $793.90 / $1,241.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,984.00 / $5,616.00 / $9,419.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.57 / $1,009.05 / $1,631.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.22 / $1,064.71 / $1,606.79
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $6,251.35 / $6,374.76
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,622.08 / $5,732.88 / $6,702.53
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
$685.92 / $887.66 / $1,648.56