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Tennessee rates for HCPCS 67570

Optic nerve decompression (eg, incision or fenestration of optic nerve sheath)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,222.33 / $3,062.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,222.33 / $1,590.65 / $1,833.51
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,951.45 / $1,951.45 / $1,951.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,132.00 / $3,728.00 / $5,878.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.97 / $1,537.70 / $3,544.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.43 / $1,466.45 / $2,263.51
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,848.40 / $9,001.70 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,100.40 / $9,483.12 / $10,377.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.00 / $4,722.00 / $7,669.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,105.75 / $1,343.95 / $2,737.66