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Tennessee rates for HCPCS 25449

Revision of arthroplasty, including removal of implant, wrist joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,256.00 / $2,940.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.07 / $1,057.59 / $1,695.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,984.00 / $5,467.00 / $9,283.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$989.62 / $1,354.65 / $2,125.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,067.20 / $1,427.41 / $2,154.67
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,872.44 / $19,913.50 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,502.96 / $7,652.32 / $8,885.25
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
$916.30 / $1,203.17 / $2,210.67