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Tennessee rates for HCPCS 33688

Closure of single ventricular septal defect, with or without patch; with removal of pulmonary artery band, with or without gusset

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,258.00 / $3,928.61 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,801.48 / $2,216.98 / $3,619.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,343.00 / $2,326.00 / $4,528.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,825.73 / $2,429.39 / $4,008.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,929.25 / $2,750.91 / $4,021.49
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $53,714.44 / $55,148.86
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,602.00 / $19,602.00 / $19,602.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.00 / $2,512.00 / $4,626.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,815.47 / $2,812.41 / $4,466.80