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Tennessee rates for HCPCS 43641

Vgtmy W/Pyloroplasty W/Wo Gastrost Parietal Cell

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
$1,072.32 / $1,405.19 / $2,105.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$945.00 / $2,202.00 / $4,147.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,102.83 / $1,557.10 / $2,493.94
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
$1,158.32 / $1,616.86 / $2,611.67
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $10,883.12 / $11,130.08
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,760.76 / $8,760.76 / $10,419.90
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
$1,077.04 / $1,471.49 / $2,529.34