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Tennessee rates for HCPCS 43775

Laps Gstrc Rstrictiv Px Longitudinal Gastrectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,446.65 / $4,506.30 / $9,102.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,771.00 / $6,488.00 / $12,833.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $605.00 / $19,000.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$123.14 / $123.14 / $123.14
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,334.80 / $14,824.56 / $22,630.00
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$245.18 / $521.04 / $521.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,697.00 / $8,652.00 / $14,656.00