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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
$2,398.83 / $2,691.53 / $7,585.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $2,290.87 / $4,570.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $524.81 / $3,388.44
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$338.84 / $338.84 / $338.84
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $26,302.68
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$2,630.27 / $2,630.27 / $2,630.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $2,454.71 / $4,677.35