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Tennessee rates for HCPCS 31230

Maxillectomy; with orbital exenteration (en bloc)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,258.00 / $3,940.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,787.20 / $2,395.60 / $3,601.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $2,324.00 / $4,528.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,891.12 / $2,554.67 / $4,148.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,859.56 / $2,752.09 / $4,268.42
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $18,280.24 / $18,816.16
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,504.56 / $14,927.92 / $16,832.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $2,665.00 / $4,918.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,880.31 / $2,819.66 / $4,536.56