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Tennessee rates for HCPCS 28635

Closed treatment of metatarsophalangeal joint dislocation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.04 / $2,011.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.47 / $160.16 / $276.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $2,108.00 / $2,805.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.28 / $206.96 / $322.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.08 / $212.23 / $344.54
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.12 / $671.79 / $12,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.16 / $1,263.59 / $1,456.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,128.00 / $2,260.00 / $4,099.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.44 / $191.66 / $353.42