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Tennessee rates for HCPCS 64857

Sutr Prph Nrv Arm/Leg Xcp Sciatic W/O Trpos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$975.05 / $2,311.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.74 / $1,084.41 / $1,637.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,309.00 / $5,486.00 / $9,283.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,007.58 / $1,380.61 / $2,155.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,064.72 / $1,395.02 / $2,198.85
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,908.20 / $16,394.00 / $17,524.30
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,544.16 / $7,734.40 / $8,972.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,905.00 / $6,073.00 / $10,287.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.78 / $1,203.19 / $2,284.12