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North Carolina 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
$1,110.86 / $6,735.00 / $17,999.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $518.28 / $35,600.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.86 / $1,388.03 / $1,975.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,717.00 / $2,500.00 / $19,832.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,632.40 / $18,000.00 / $32,472.55