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Tennessee rates for HCPCS 55120

Removal of foreign body in scrotum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $2,290.87 / $4,073.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $407.38 / $645.65
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $2,951.21 / $3,801.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $524.81 / $851.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,258.93 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $467.74 / $707.95
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $5,495.41 / $28,840.32
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $3,019.95 / $3,019.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $3,630.78 / $6,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $478.63 / $741.31