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Tennessee rates for HCPCS 43773

Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device component only

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 / $1,436.43 / $2,300.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,201.00 / $4,975.00 / $9,272.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,176.59 / $1,653.39 / $2,659.73
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
$1,274.69 / $1,755.52 / $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
$1,409.00 / $7,364.00 / $18,353.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,163.56 / $1,622.46 / $2,823.98