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Tennessee rates for HCPCS 28825

Amputation Toe Interphalangeal Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.24 / $2,303.00 / $6,681.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.76 / $356.25 / $599.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.36 / $212.95 / $252.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,917.00 / $3,688.00 / $5,878.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.99 / $496.82 / $835.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.31 / $514.22 / $906.97
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$966.18 / $975.35 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,792.20 / $2,614.19 / $3,173.36
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
$472.41 / $595.02 / $1,030.74