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Tennessee rates for HCPCS 25630

Cltx Carpal Bone Fx W/O Manj Each Bone

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
$189.74 / $412.70 / $565.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.62 / $302.45 / $503.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.00 / $1,522.00 / $2,257.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.67 / $385.02 / $601.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.83 / $403.84 / $621.66
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,541.95 / $1,541.95
Lucent Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$957.94 / $1,079.36 / $1,079.36
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,151.28 / $2,350.08 / $2,745.38
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
$269.02 / $339.66 / $604.94