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Tennessee rates for HCPCS 54164

Frenulotomy of penis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.00 / $2,311.00 / $7,602.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,610.00 / $2,753.00 / $3,681.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.68 / $5,444.45 / $16,394.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,695.00 / $3,546.00 / $6,003.00