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Tennessee rates for HCPCS 25624

Closed Tx Carpal Scaphoid Fracture W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.00 / $2,303.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.75 / $465.20 / $781.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.00 / $2,161.00 / $3,004.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.02 / $601.82 / $953.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.84 / $623.46 / $965.36
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,156.60 / $2,384.73 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,330.48 / $3,745.36 / $4,378.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.00 / $1,560.00 / $2,914.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.23 / $536.37 / $1,003.68