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Tennessee rates for HCPCS 43771

Laps Gastric Restrictive Px Revision Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,635.00 / $3,105.00 / $10,234.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,139.88 / $1,434.21 / $2,301.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $2,267.00 / $4,235.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.76 / $1,651.51 / $2,624.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $525.00 / $4,371.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,274.42 / $1,755.13 / $2,777.12
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,328.60 / $17,314.56 / $17,713.68
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,854.73 / $9,854.73 / $11,047.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,236.00 / $5,594.00 / $18,353.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,143.60 / $1,614.50 / $2,689.63