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Tennessee rates for HCPCS 25920

Disarticulation Through Wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.77 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.54 / $718.51 / $1,171.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,430.00 / $5,486.00 / $9,272.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.33 / $923.89 / $1,487.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.91 / $972.13 / $1,477.44
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $3,450.20 / $3,742.67
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,300.88 / $5,425.44 / $6,320.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,964.00 / $8,273.00 / $12,407.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.62 / $815.53 / $1,490.88