go back

Pennsylvania 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
$1,119.00 / $3,839.00 / $8,427.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,296.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $2,269.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,536.96 / $2,536.96 / $2,536.96
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $4,068.00 / $8,247.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,980.00 / $1,980.00 / $1,980.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $2,269.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.62 / $1,036.06 / $1,101.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,822.00 / $4,563.00 / $9,904.00