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Tennessee rates for HCPCS 76815

Us Pregnant Uterus Limited 1/> Fetuses

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.82 / $45.44 / $50.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.41 / $93.45 / $356.81
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.83 / $35.27 / $119.09
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.58 / $54.95 / $86.65
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.49 / $78.06 / $136.40
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.81 / $31.79 / $58.27
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$34.69 / $49.76 / $74.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.07 / $110.28 / $169.49
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.52 / $42.31 / $65.59
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.03 / $69.98 / $109.45
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.11 / $35.11 / $35.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.33 / $100.33 / $164.93
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.98 / $39.97 / $66.34
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.75 / $62.23 / $105.35
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$85.90 / $151.29 / $151.29
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.64 / $524.64 / $673.35
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$195.35 / $195.35 / $247.88
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$329.23 / $329.23 / $425.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.98 / $94.30 / $157.05
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.88 / $37.14 / $63.32
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.80 / $56.70 / $98.21