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Tennessee rates for HCPCS 33264

Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; multiple lead system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.00 / $4,069.00 / $30,144.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,711.00 / $10,320.00 / $18,691.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,946.48 / $142,675.35 / $142,675.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,488.00 / $18,622.00 / $74,885.00