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Tennessee rates for HCPCS 25695

Open treatment of lunate dislocation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $2,290.87 / $4,073.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $660.69 / $1,288.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $6,606.93 / $9,772.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $933.25 / $1,479.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $851.14 / $1,318.26
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,952.62 / $19,952.62 / $28,840.32
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,677.35 / $5,495.41 / $5,495.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $3,630.78 / $6,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $741.31 / $1,258.93