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Idaho rates for HCPCS 43647

Laparoscopy, surgical; implantation or replacement of gastric neurostimulator electrodes, antrum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,897.00 / $4,500.00 / $7,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.17 / $816.83 / $1,782.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.94 / $915.42 / $1,103.89
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$816.83 / $1,589.95 / $2,281.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $55.00 / $3,900.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,496.87 / $30,630.32 / $41,273.06
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.91 / $1,216.35 / $1,245.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,000.00 / $24,599.00 / $65,746.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.20 / $732.78 / $1,445.75