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Tennessee rates for HCPCS 49611

Repair of omphalocele (Gross type operation); second stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,197.58 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.36 / $718.70 / $1,068.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $2,226.00 / $4,372.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.97 / $751.89 / $1,253.16
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
$617.52 / $852.51 / $1,318.19
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $5,572.40 / $5,692.96
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,535.58 / $4,535.58 / $5,321.10
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
$526.34 / $767.41 / $1,297.96