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Tennessee rates for HCPCS 33503

Repair of anomalous coronary artery from pulmonary artery origin; by graft, without cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,311.00 / $4,069.00 / $10,234.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,270.08 / $1,575.40 / $2,552.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.00 / $2,326.00 / $4,936.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,245.67 / $1,702.41 / $2,805.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,363.18 / $1,943.76 / $2,841.53
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $38,458.42 / $39,363.48
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,784.00 / $12,784.00 / $12,784.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.00 / $2,665.00 / $4,918.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,252.67 / $1,941.64 / $3,116.78