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Tennessee rates for HCPCS 28455

Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.00 / $2,011.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.12 / $278.52 / $450.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.00 / $2,181.00 / $3,084.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.11 / $356.34 / $560.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.97 / $372.09 / $590.04
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,205.65 / $1,205.65
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,728.72 / $1,970.27 / $2,184.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $808.00 / $2,577.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.69 / $351.89 / $590.04