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Tennessee rates for HCPCS 34203

Embolectomy or thrombectomy, with or without catheter; popliteal-tibio-peroneal artery, by leg incision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,811.69 / $2,678.00 / $7,602.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,984.00 / $6,517.00 / $10,237.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $13,856.55 / $13,856.55
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$225.23 / $1,314.53 / $1,314.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,964.00 / $8,273.00 / $12,362.00