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Tennessee rates for HCPCS 28112

Ostectomy Complete Other Metatarsal Head 2/3/4

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$396.46 / $1,975.54 / $6,446.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.05 / $431.70 / $738.36
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.91 / $143.91 / $143.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,047.00 / $3,728.00 / $5,774.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.01 / $535.53 / $864.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.43 / $534.36 / $873.31
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,487.08 / $1,612.48 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,324.96 / $3,477.36 / $4,024.95
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
$431.61 / $553.15 / $1,000.93