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Tennessee rates for HCPCS 28200

Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$686.01 / $2,311.00 / $7,240.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.68 / $439.76 / $704.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.35 / $277.35 / $277.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,128.00 / $3,728.00 / $5,774.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.37 / $545.22 / $868.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.78 / $544.80 / $882.15
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,551.92 / $1,682.02 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,674.00 / $3,565.68 / $4,134.53
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
$434.27 / $565.30 / $1,048.79