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Tennessee rates for HCPCS 25375

Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,103.00 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$823.77 / $983.64 / $1,531.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,201.00 / $3,950.00 / $5,878.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.77 / $1,237.43 / $1,969.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$980.91 / $1,350.61 / $2,077.61
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,582.68 / $8,957.00 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,050.08 / $7,084.61 / $8,241.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,905.00 / $6,073.00 / $10,287.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.63 / $1,157.46 / $2,032.47