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Arizona rates for HCPCS 43770

Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric band and subcutaneous port components)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,095.00 / $4,521.00 / $15,136.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,743.20 / $6,508.67 / $11,404.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,746.00 / $17,138.00 / $22,327.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.67 / $1,338.90 / $12,632.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,472.00 / $9,437.00 / $28,060.00