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Tennessee rates for HCPCS 33764

Shunt Central W/Prosthetic Graft

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
$1,176.33 / $1,488.35 / $2,097.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.00 / $2,302.00 / $4,528.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,251.35 / $1,684.63 / $2,774.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,353.39 / $1,935.74 / $2,821.13
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
$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
$1,244.31 / $1,873.90 / $3,035.87