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Tennessee rates for HCPCS 28104

Exc/Curtg Bone Cyst/B9 Tumortarsal/Metatarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$623.00 / $2,303.00 / $7,602.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,917.00 / $3,753.00 / $6,090.00
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
$1,682.60 / $1,827.99 / $16,394.00
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$165.01 / $182.80 / $182.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,750.00 / $3,612.00 / $6,285.00