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Tennessee rates for HCPCS 64865

Suture Facial Nerve Infratemporal W/Wo Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,103.00 / $2,683.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.63 / $1,150.13 / $1,638.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,695.00 / $5,467.00 / $9,419.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,081.02 / $1,464.62 / $2,214.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,104.45 / $1,473.84 / $2,347.23
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,975.34 / $22,211.50 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,817.68 / $8,063.68 / $9,073.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,799.00 / $5,709.00 / $10,111.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$969.98 / $1,355.09 / $2,310.94