go back

Tennessee rates for HCPCS 43847

Gastric Rstcv W/Byp W/Sm Int Rcnstj Limit Absrpj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,311.00 / $3,540.06 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,609.12 / $2,031.55 / $3,159.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,031.00 / $2,202.00 / $4,147.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,652.71 / $2,318.40 / $3,712.80
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
$1,776.85 / $2,431.58 / $3,917.37
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $24,420.00 / $24,988.44
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,253.41 / $13,253.41 / $15,596.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $2,397.00 / $4,544.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,632.08 / $2,264.67 / $3,888.57