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Tennessee rates for HCPCS 38900

Intraoperative identification (eg, mapping) of sentinel lymph node(s) includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.50 / $1,403.51 / $3,230.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$903.00 / $903.00 / $1,709.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.06 / $167.96 / $507.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.97 / $178.12 / $234.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.00 / $148.00 / $1,676.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.46 / $168.72 / $274.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.13 / $201.54 / $305.56
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $622.16 / $649.94
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$33.49 / $64.98 / $64.98
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.32 / $987.52 / $1,171.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $808.00 / $2,577.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.41 / $203.59 / $318.95