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Tennessee rates for HCPCS 47701

Portoenterostomy (eg, Kasai procedure)

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
$1,584.89 / $1,862.09 / $3,311.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $2,290.87 / $4,570.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,570.40 / $3,890.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $512.86 / $2,951.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,238.72 / $3,801.89
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $15,488.17 / $15,488.17
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,302.69 / $14,791.08 / $14,791.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $2,454.71 / $4,677.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,041.74 / $3,311.31