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Tennessee rates for HCPCS 49062

Drg Xtraperitoneal Lymphocele Periton Cavity Opn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,504.90 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.04 / $868.07 / $1,343.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $2,218.00 / $4,232.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.24 / $981.16 / $1,574.71
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
$754.75 / $1,031.41 / $1,630.55
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $6,101.20 / $6,237.56
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,458.80 / $5,578.64 / $6,666.83
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
$686.31 / $960.08 / $1,635.51