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Tennessee rates for HCPCS 25450

Epiphyseal arrest by epiphysiodesis or stapling; distal radius OR ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$893.00 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.24 / $606.33 / $1,013.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,132.00 / $3,766.00 / $5,959.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.77 / $785.37 / $1,222.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.16 / $829.19 / $1,276.95
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,341.60 / $8,957.00 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,946.76 / $5,110.01 / $5,392.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,372.00 / $6,090.00 / $12,183.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.62 / $699.03 / $1,291.11