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Ohio 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
$1,610.00 / $5,616.00 / $10,817.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,669.00 / $7,180.00 / $36,529.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,073.85 / $1,288.63 / $1,594.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $581.00 / $1,281.96
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $562.00 / $1,281.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $7,705.00 / $13,382.00