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Tennessee rates for HCPCS 0197U

Red cell antigen (Landsteiner-Wiener blood group) genotyping (LW), gene analysis, ICAM4 (intercellular adhesion molecule 4 [Landsteiner-Wiener blood group]) exon 1

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $147.91 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $144.54 / $223.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $186.21 / $186.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $380.19 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $186.21 / $186.21
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $870.96 / $870.96
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,380.38 / $1,380.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $186.21 / $186.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $112.20 / $186.21