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Tennessee rates for HCPCS 88304

Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.03 / $47.03 / $131.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.66 / $34.01 / $85.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.22 / $11.12 / $68.31
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.44 / $22.52 / $51.61
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.78 / $19.75 / $42.77
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$5.09 / $5.17 / $20.38
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.23 / $18.23 / $18.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.24 / $66.09 / $90.24
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.89 / $15.04 / $21.12
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.40 / $45.85 / $73.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.13 / $30.05 / $94.66
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$5.11 / $5.46 / $16.96
Cigna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$23.04 / $24.61 / $77.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.77 / $31.26 / $95.45
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$5.24 / $9.65 / $22.92
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.55 / $21.77 / $59.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.36 / $208.80 / $228.14
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.85 / $100.00 / $100.00
Lucent Health
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$60.61 / $164.16 / $173.52
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.03 / $360.92 / $370.81
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$191.54 / $191.54 / $191.54
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$268.14 / $271.66 / $275.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.85 / $40.53 / $93.77
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.43 / $10.56 / $20.34
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.03 / $29.81 / $65.89