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Tennessee rates for HCPCS 25391

Osteoplasty, radius OR ulna; lengthening with autograft

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
$874.52 / $1,027.02 / $1,599.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,895.00 / $7,138.00 / $13,623.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$956.17 / $1,320.50 / $2,102.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.39 / $1,417.97 / $2,133.87
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,737.96 / $26,542.00 / $53,685.80
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,522.99 / $7,771.25 / $8,596.50
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
$903.95 / $1,181.64 / $2,123.17