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Tennessee rates for HCPCS 31225

Maxillectomy; without orbital exenteration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,691.53 / $14,791.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $2,290.87 / $4,365.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $794.33 / $794.33
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $16,218.10 / $16,218.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $2,630.27 / $4,786.30