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Tennessee rates for HCPCS 43640

Vagotomy including pyloroplasty, with or without gastrostomy; truncal or selective

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,258.00 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.75 / $1,333.05 / $2,061.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $2,226.00 / $4,147.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,090.17 / $1,524.71 / $2,450.04
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
$1,142.31 / $1,594.69 / $2,568.67
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $10,763.04 / $11,004.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,425.68 / $8,612.16 / $10,306.87
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
$1,053.73 / $1,494.62 / $2,603.94