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Tennessee rates for HCPCS 25530

Closed Tx Ulnar Shaft Fracture W/O 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
$161.41 / $351.09 / $481.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.94 / $256.61 / $456.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.00 / $1,500.00 / $2,244.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.45 / $330.25 / $517.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.46 / $337.54 / $524.07
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,340.88 / $1,340.88
Lucent Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$824.44 / $938.62 / $938.62
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,851.68 / $2,044.16 / $2,390.48
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
$231.69 / $293.27 / $542.86