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Tennessee rates for HCPCS 25250

Removal Wrist Prosthesis Separate Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.00 / $2,258.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.28 / $548.78 / $876.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.00 / $2,142.00 / $2,838.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.22 / $692.08 / $1,077.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.05 / $727.24 / $1,100.70
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,027.80 / $4,754.80 / $12,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,920.96 / $3,995.68 / $4,672.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,130.00 / $2,297.00 / $4,099.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.26 / $621.88 / $1,110.71