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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
$2,398.83 / $2,691.53 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,187.76 / $4,073.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $2,344.23 / $4,897.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,754.23 / $4,265.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,691.53 / $3,981.07
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $52,480.75 / $52,480.75
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20,892.96 / $20,892.96 / $22,387.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $2,630.27 / $4,786.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,754.23 / $4,168.69