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Tennessee rates for HCPCS 43425

Closure of esophagostomy or fistula; transthoracic or transabdominal approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,691.53 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,548.82 / $2,511.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $2,290.87 / $4,570.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $2,187.76 / $3,235.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $512.86 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,862.09 / $3,090.30
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $25,703.96 / $25,703.96
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,000.00 / $12,302.69 / $12,302.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $2,454.71 / $4,677.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,659.59 / $2,691.53