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Tennessee rates for HCPCS 25355

Osteotomy Radius Middle/Proximal Third

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.13 / $781.17 / $1,254.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,174.00 / $3,728.00 / $5,878.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.48 / $1,011.62 / $1,633.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.18 / $1,087.41 / $1,668.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,885.08 / $8,957.00 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,283.54 / $6,490.90 / $6,638.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,799.00 / $5,709.00 / $10,111.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.57 / $933.65 / $1,748.79