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Tennessee rates for HCPCS 43771

Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric restrictive device component only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $2,630.27 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,380.38 / $2,454.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $2,344.23 / $4,365.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,905.46 / $2,951.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $524.81 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,621.81 / $2,818.38
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $17,378.01
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,772.37 / $10,964.78 / $10,964.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $6,606.93 / $19,498.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,445.44 / $2,398.83