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Tennessee rates for HCPCS 33755

Shunt; ascending aorta to pulmonary artery (Waterston type operation)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,097.46 / $2,749.75 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,260.91 / $1,564.01 / $2,533.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.00 / $2,302.00 / $4,936.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,277.88 / $1,690.10 / $2,870.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,353.39 / $1,929.80 / $2,748.86
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $23,440.32 / $24,012.64
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,932.00 / $11,932.00 / $11,932.00
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
$1,250.95 / $2,004.21 / $3,162.49