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Tennessee rates for HCPCS 78140

Labeled red cell sequestration, differential organ/tissue (eg, splenic and/or hepatic)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.48 / $90.48 / $169.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.48 / $94.64 / $162.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.17 / $152.93 / $250.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.22 / $243.84 / $456.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.28 / $189.91 / $300.18
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.15 / $1,229.45 / $1,229.45
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.53 / $1,062.47 / $1,062.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.08 / $177.68 / $281.35