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Tennessee rates for HCPCS 25426

Repair of defect with autograft; radius AND ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,103.00 / $2,683.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.71 / $1,156.55 / $1,813.48
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,909.28 / $1,909.28 / $1,909.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,221.00 / $3,880.00 / $5,774.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,069.11 / $1,462.65 / $2,273.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,156.58 / $1,589.77 / $2,334.96
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,201.72 / $11,817.20 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,198.03 / $8,271.92 / $9,659.18
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
$996.06 / $1,253.85 / $2,395.65