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Tennessee rates for HCPCS 25251

Removal of wrist prosthesis; complicated, including total wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$638.35 / $2,258.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.27 / $739.42 / $1,153.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,676.00 / $3,688.00 / $5,959.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.08 / $942.41 / $1,538.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.06 / $998.98 / $1,492.03
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,751.67 / $8,957.00 / $12,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,256.07 / $5,349.76 / $6,248.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,934.00 / $4,611.00 / $8,086.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.14 / $872.62 / $1,549.89