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Tennessee rates for HCPCS 55874

Transperineal Plmt Biodegradable Matrl 1/Mlt Njx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.00 / $2,311.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.44 / $3,003.74 / $5,360.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,052.00 / $4,657.00 / $7,950.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.21 / $2,099.69 / $6,345.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.99 / $519.98 / $5,897.34
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,121.88 / $1,144.02
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,269.87 / $19,541.36 / $23,097.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,959.00 / $8,273.00 / $12,407.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,828.74 / $4,510.68 / $6,864.29