go back

Tennessee rates for HCPCS A2009

Symphony, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.31 / $50.31 / $62.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.31 / $61.67 / $85.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.43 / $106.46 / $115.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.13 / $93.13 / $93.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.13 / $93.13 / $93.13
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.09 / $164.36 / $219.14
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.50 / $416.37 / $493.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.30 / $91.30 / $91.30