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Tennessee rates for HCPCS 43400

Ligation, direct, esophageal varices

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,258.00 / $2,981.62 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,355.28 / $1,724.23 / $2,661.15
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,221.11 / $1,221.11 / $1,221.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $2,302.00 / $4,232.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,439.99 / $2,008.77 / $3,253.06
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
$1,503.68 / $2,097.87 / $3,296.61
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $27,403.04 / $28,043.84
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,728.24 / $10,974.56 / $13,128.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,697.00 / $7,232.00 / $12,407.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,362.33 / $1,899.49 / $3,247.40