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Minnesota 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
$588.84 / $588.84 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $707.95 / $1,318.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $19,952.62 / $47,863.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,621.81 / $2,398.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $2,290.87 / $5,370.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,737.80 / $2,691.53
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $2,187.76 / $4,265.80
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,548.82 / $2,454.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $1,000.00 / $5,888.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,174.90 / $4,786.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $6,309.57 / $13,182.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,148.15 / $2,187.76