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Tennessee rates for HCPCS 41250

Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.83 / $2,288.39 / $6,214.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.50 / $1,458.00 / $2,244.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.45 / $529.00 / $2,213.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,059.90 / $1,081.85 / $16,394.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.00 / $740.00 / $2,127.00