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Tennessee rates for HCPCS 43641

Vagotomy including pyloroplasty, with or without gastrostomy; parietal cell (highly selective)

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
$1,096.48 / $1,288.25 / $2,089.30
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
$1,174.90 / $1,778.28 / $2,691.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $524.81 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,513.56 / $2,630.27
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $10,964.78 / $10,964.78
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,709.64 / $10,471.29 / $10,471.29
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
$1,023.29 / $1,348.96 / $2,238.72