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Tennessee rates for HCPCS 25922

Disarticulation through wrist; secondary closure or scar revision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$893.00 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.83 / $636.48 / $1,036.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.00 / $2,267.00 / $3,470.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.97 / $774.48 / $1,266.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.61 / $829.61 / $1,276.83
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.16 / $4,754.80 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,697.28 / $4,814.39 / $5,593.20
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
$504.80 / $686.64 / $1,311.88