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Tennessee rates for HCPCS 25455

Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.42 / $716.71 / $1,171.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,128.00 / $3,753.00 / $5,878.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.96 / $925.98 / $1,437.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.51 / $981.29 / $1,508.35
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,758.56 / $8,957.00 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,633.52 / $5,819.43 / $6,350.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,604.00 / $5,898.00 / $11,506.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.86 / $826.44 / $1,521.82