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Tennessee rates for HCPCS 43635

Vagotomy when performed with partial distal gastrectomy (List separately in addition to code[s] for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.17 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.62 / $132.13 / $195.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.00 / $148.00 / $1,599.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.84 / $146.93 / $232.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.87 / $605.00 / $2,530.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.27 / $157.66 / $244.53
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,690.00 / $2,250.75
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,856.41 / $2,856.41 / $2,856.41
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
$102.31 / $146.04 / $261.79