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Tennessee rates for HCPCS 33853

Repair of hypoplastic or interrupted aortic arch using autogenous or prosthetic material; with cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,258.00 / $3,825.05 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,753.99 / $2,175.63 / $3,825.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $2,302.00 / $4,528.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,743.53 / $2,351.02 / $3,902.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,880.79 / $2,697.16 / $3,920.48
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $52,698.62 / $54,044.64
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20,966.00 / $22,475.32 / $22,475.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.00 / $2,698.00 / $4,664.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,738.31 / $2,739.91 / $4,415.35