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Tennessee rates for HCPCS 38200

Injection procedure for splenoportography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.00 / $2,303.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.55 / $128.43 / $202.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.00 / $150.00 / $1,959.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.44 / $213.01 / $298.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.13 / $157.19 / $166.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.13 / $187.55 / $291.77
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,300.00 / $1,300.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,870.00 / $1,870.00 / $1,870.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $814.00 / $2,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.36 / $193.57 / $292.39