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Tennessee rates for HCPCS 25500

Closed treatment of radial shaft fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.00 / $2,011.00 / $7,602.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$170.97 / $371.89 / $509.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.28 / $266.25 / $437.53
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.59 / $372.59 / $372.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.00 / $1,500.00 / $2,257.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.65 / $349.09 / $547.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.38 / $358.35 / $555.21
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,408.57 / $1,408.57
Lucent Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$871.06 / $986.00 / $986.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,957.12 / $2,195.76 / $2,561.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $808.00 / $2,577.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.80 / $302.39 / $594.13