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Tennessee rates for HCPCS 27095

Injection Hip Arthrography W/Anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.51 / $1,791.00 / $6,681.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,709.00 / $1,709.00 / $2,147.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.30 / $208.60 / $443.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.00 / $150.00 / $1,676.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.72 / $211.20 / $518.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.01 / $138.81 / $299.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.73 / $211.57 / $490.86
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $559.28 / $559.28
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.01 / $2,532.38 / $2,809.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $814.00 / $2,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.67 / $353.00 / $673.55