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Tennessee rates for HCPCS 27881

Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,638.23 / $2,678.00 / $7,602.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,014.00 / $6,563.00 / $10,237.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $4,666.75 / $4,860.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,186.00 / $8,222.00 / $13,200.00