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Tennessee rates for HCPCS 33617

Repair of complex cardiac anomalies (eg, single ventricle) by modified Fontan procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,258.00 / $4,069.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,069.87 / $2,567.44 / $4,147.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $2,326.00 / $4,232.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,030.06 / $2,756.86 / $4,516.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,218.21 / $3,185.23 / $4,623.84
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $62,001.94 / $63,618.88
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24,290.00 / $27,293.42 / $27,293.42
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
$2,048.39 / $3,221.33 / $5,092.47