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Idaho rates for HCPCS 43284

Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $707.95 / $1,380.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $18,620.87 / $31,622.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,202.26 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $954.99 / $1,348.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $1,071.52 / $2,691.53
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,122.02 / $1,318.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,197.01 / $22,908.68 / $32,359.37
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,258.93 / $1,380.38
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $588.84 / $18,620.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $26,915.35 / $29,512.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $912.01 / $1,380.38