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Tennessee rates for HCPCS 28113

Ostectomy Complete 5th Metatarsal Head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.00 / $2,678.00 / $6,681.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.25 / $528.28 / $917.53
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.10 / $471.72 / $530.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,047.00 / $3,753.00 / $6,090.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.62 / $683.09 / $1,073.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.09 / $680.43 / $1,118.97
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,028.88 / $2,212.27 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,178.56 / $4,247.43 / $4,891.64
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
$517.49 / $647.54 / $1,243.00