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Tennessee rates for HCPCS 43634

Gastrectomy, partial, distal; with formation of intestinal pouch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,311.00 / $3,940.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,890.44 / $2,460.63 / $3,711.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$945.00 / $2,267.00 / $3,815.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,945.31 / $2,755.43 / $4,411.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $525.00 / $2,420.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,939.49 / $2,810.08 / $4,595.53
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $19,054.24 / $19,507.84
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,920.72 / $15,268.40 / $18,275.40
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
$1,792.64 / $2,576.92 / $4,473.95