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Tennessee rates for HCPCS 49013

Preperitoneal Pel Pack F/Hemrrg Assoc Pel Trma

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$861.12 / $2,678.00 / $7,602.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,417.00 / $2,326.00 / $4,232.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $3,549.77 / $3,635.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $2,665.00 / $4,918.00