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Tennessee rates for HCPCS 25622

Closed Tx Carpal Scaphoid Fracture W/O Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.89 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$188.70 / $410.45 / $562.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.53 / $293.95 / $504.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.00 / $1,480.00 / $2,244.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.14 / $384.81 / $606.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.36 / $396.50 / $616.34
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,550.40 / $1,550.40
Lucent Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$956.89 / $1,085.28 / $1,085.28
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,150.80 / $2,370.56 / $2,763.98
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
$258.60 / $331.95 / $603.55