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Tennessee rates for HCPCS 54162

Lysis/Excision Penile Postcircumcision Adhesions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.27 / $2,303.00 / $6,935.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.18 / $280.74 / $511.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,610.00 / $2,800.00 / $3,710.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.11 / $286.61 / $505.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.59 / $317.11 / $511.91
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.36 / $1,003.20 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,467.60 / $1,863.68 / $2,149.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,049.00 / $3,597.00 / $6,644.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.46 / $381.47 / $575.73