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Utah rates for HCPCS 43648

Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $5,888.44 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $588.84 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $758.58 / $1,230.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $60.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $9,772.37 / $21,877.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $977.24 / $1,288.25
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $977.24 / $1,023.29
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $851.14 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $5,128.61 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $575.44 / $1,202.26