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Tennessee rates for HCPCS 28750

Arthrodesis, great toe; metatarsophalangeal joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,030.90 / $3,940.00 / $7,116.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.41 / $732.69 / $1,264.64
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.16 / $784.74 / $1,549.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,695.00 / $5,486.00 / $9,272.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.95 / $939.77 / $1,461.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.51 / $929.75 / $1,526.37
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,722.60 / $2,922.77 / $26,542.00
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$264.92 / $292.27 / $292.27
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,220.47 / $5,611.44 / $6,523.73
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
$705.25 / $917.66 / $1,653.61