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West Virginia 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
$1,155.06 / $1,400.00 / $23,368.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,197.34 / $1,363.10 / $1,485.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,281.96 / $1,281.96 / $1,281.96
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,549.62 / $25,549.62 / $25,549.62