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Tennessee rates for HCPCS 25250

Removal of wrist prosthesis; (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $2,290.87 / $4,073.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $562.34 / $1,096.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $2,187.76 / $2,951.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $794.33 / $1,230.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $707.95 / $1,096.48
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $4,786.30 / $19,498.45
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $4,677.35 / $4,677.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $2,290.87 / $4,073.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $616.60 / $1,047.13