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Tennessee rates for HCPCS 67875

Temporary closure of eyelids by suture (eg, Frost suture)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.37 / $2,130.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.49 / $153.50 / $261.22
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.87 / $75.87 / $136.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $2,138.00 / $2,838.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.12 / $177.63 / $399.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.37 / $170.72 / $325.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $654.12 / $669.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.00 / $2,809.41 / $2,902.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,130.00 / $2,260.00 / $4,099.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.80 / $202.57 / $370.44