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Tennessee rates for HCPCS 25491

Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; 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
$648.98 / $724.89 / $1,185.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,430.00 / $7,266.00 / $13,734.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.84 / $980.56 / $1,560.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.05 / $1,050.06 / $1,611.67
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,790.80 / $26,542.00 / $47,686.95
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,188.07 / $6,392.27 / $6,423.75
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
$669.40 / $923.32 / $1,591.89