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Tennessee rates for HCPCS 64862

Suture Lumbar Plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,267.83 / $2,691.14 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,201.68 / $1,385.02 / $2,109.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,430.00 / $5,500.00 / $9,419.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,306.25 / $1,794.61 / $2,790.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.77 / $1,774.51 / $2,864.27
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,500.00 / $17,524.30 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,850.48 / $10,052.56 / $11,750.03
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
$1,220.91 / $1,766.38 / $2,822.65