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Tennessee rates for HCPCS 28446

Open osteochondral autograft, talus (includes obtaining graft[s])

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,103.00 / $2,683.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.75 / $1,250.49 / $1,936.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,695.00 / $5,579.00 / $9,283.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.20 / $1,601.03 / $2,522.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,256.60 / $1,642.18 / $2,541.55
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $25,239.65 / $25,239.65
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,845.20 / $9,021.60 / $10,541.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,964.00 / $8,273.00 / $12,407.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.09 / $1,385.59 / $2,564.65