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Tennessee rates for HCPCS 43845

Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 to 100 cm common channel) to limit absorption (biliopancreatic diversion with duodenal switch)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,311.00 / $3,802.46 / $7,602.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$945.00 / $2,197.00 / $4,372.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $525.00 / $2,277.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$219.00 / $219.00 / $219.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $26,507.28 / $27,063.48
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$432.24 / $942.98 / $942.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $2,397.00 / $4,544.00