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Tennessee rates for HCPCS 49605

Repair of large omphalocele or gastroschisis; with or without prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,082.00 / $3,940.00 / $9,622.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,374.04 / $5,556.60 / $8,588.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $2,302.00 / $4,147.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,516.56 / $6,418.27 / $10,206.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $525.00 / $2,530.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,699.42 / $6,667.01 / $10,620.44
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $43,923.68 / $44,973.44
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34,397.28 / $35,203.28 / $42,176.33
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
$4,436.08 / $6,159.23 / $10,554.90