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Tennessee rates for HCPCS 25931

Transmetacarpal Amputation Re-Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,543.04 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.90 / $790.98 / $1,281.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,917.00 / $3,611.00 / $5,774.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.89 / $990.17 / $1,574.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.65 / $1,025.76 / $1,552.74
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $8,957.00 / $8,957.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,738.72 / $5,927.92 / $6,829.28
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
$665.24 / $855.49 / $1,546.99