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Tennessee rates for HCPCS 54380

Plastic operation on penis for epispadias distal to external sphincter;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.89 / $998.19 / $1,164.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,610.00 / $2,859.00 / $3,710.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.52 / $1,039.25 / $1,789.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.17 / $1,118.23 / $1,758.37
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,948.80 / $5,444.45 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,660.08 / $8,255.64 / $8,528.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,259.00 / $4,567.00 / $7,669.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.36 / $1,224.33 / $1,901.10