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Tennessee rates for HCPCS 43644

Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $4,897.79 / $20,417.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $8,709.64 / $14,454.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $524.81 / $2,951.21
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$3,548.13 / $3,548.13 / $3,548.13
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$295.12 / $295.12 / $295.12
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $8,511.38 / $23,442.29
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$2,344.23 / $2,344.23 / $2,344.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $7,413.10 / $14,454.40