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Tennessee rates for HCPCS 25685

Open treatment of trans-scaphoperilunar type of fracture dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.67 / $754.03 / $1,205.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,430.00 / $5,467.00 / $9,272.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.64 / $963.38 / $1,552.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.49 / $1,018.01 / $1,525.20
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,775.88 / $19,913.50 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,359.28 / $5,464.88 / $6,388.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,794.00 / $3,626.00 / $6,291.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.95 / $829.69 / $1,531.74