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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
$781.00 / $2,311.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.98 / $652.33 / $1,018.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,056.00 / $5,467.00 / $9,272.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.85 / $830.51 / $1,342.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.51 / $870.11 / $1,314.30
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.19 / $16,394.00 / $19,913.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,637.04 / $4,729.04 / $5,525.63
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
$561.37 / $693.46 / $1,266.59