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Tennessee rates for HCPCS 43775

Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $4,073.80 / $12,302.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $7,413.10 / $13,182.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $645.65 / $19,054.61
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$2,290.87 / $2,290.87 / $2,290.87
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$190.55 / $190.55 / $190.55
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,791.08 / $22,387.21 / $22,387.21
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,479.11 / $1,479.11 / $1,479.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $8,317.64 / $17,378.01