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Tennessee rates for HCPCS 33987

Artery Expos/Graft Artery Perfusion Ecmo/Ecls

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.47 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.79 / $243.97 / $401.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.00 / $142.00 / $388.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.99 / $267.77 / $454.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.82 / $307.19 / $445.71
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $917.37 / $946.91
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,424.48 / $1,462.40 / $1,723.35
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
$197.94 / $311.58 / $496.33