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Tennessee rates for HCPCS 43865

Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; with vagotomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,298.46 / $3,347.83 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,521.74 / $1,926.89 / $2,988.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,673.00 / $6,223.00 / $9,419.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.51 / $2,205.91 / $3,550.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $525.00 / $2,277.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,684.11 / $2,306.78 / $3,701.17
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $15,364.64 / $15,730.56
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,031.92 / $12,311.52 / $14,724.83
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
$1,531.35 / $2,122.28 / $3,650.09