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Tennessee rates for HCPCS C1789

Prosthesis, breast (implantable)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.24 / $2,480.05 / $7,118.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.32 / $402.32 / $639.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.93 / $1,054.93 / $1,054.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $104.42 / $1,874.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,666.22 / $1,666.22 / $1,666.22