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Tennessee rates for HCPCS 43502

Gastrotomy W/Sutr Rpr Pre-Esopg/Gastric Lac

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,258.00 / $2,987.95 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,358.16 / $1,775.27 / $2,666.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $2,197.00 / $4,232.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,411.04 / $1,965.54 / $3,169.04
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
$1,485.64 / $2,057.03 / $3,304.69
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $13,734.24 / $14,055.52
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,754.00 / $11,001.04 / $13,160.03
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
$1,365.40 / $1,928.79 / $3,295.37