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Tennessee rates for HCPCS 47701

Portoenterostomy (eg, Kasai procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,311.00 / $3,411.41 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,550.64 / $1,996.60 / $3,044.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$945.00 / $2,197.00 / $4,124.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,592.64 / $2,251.66 / $3,618.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $525.00 / $2,277.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,732.20 / $2,403.48 / $3,768.03
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $15,596.24 / $15,986.08
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,211.20 / $12,510.56 / $14,937.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $2,397.00 / $4,544.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,586.04 / $2,178.21 / $3,707.28