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Indiana 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
$758.58 / $3,467.37 / $27,542.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $707.95 / $1,174.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $36,307.81 / $52,480.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $630.96 / $977.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $645.65 / $724.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,122.02 / $9,332.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $831.76 / $1,202.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $11,220.18 / $17,378.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $758.58 / $1,148.15