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Tennessee rates for HCPCS 43887

Gastric restrictive procedure, open; removal of subcutaneous port component only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$647.28 / $2,133.00 / $6,681.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.22 / $368.27 / $577.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,172.00 / $2,562.00 / $3,620.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.62 / $428.53 / $677.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.05 / $1,234.54 / $1,652.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.51 / $443.62 / $711.57
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,254.88 / $5,564.75 / $5,564.75
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,392.88 / $2,442.96 / $2,908.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $2,257.00 / $4,099.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.02 / $402.58 / $685.45