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Arkansas rates for HCPCS 43771

Laps Gastric Restrictive Px Revision Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.00 / $1,641.00 / $4,478.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.85 / $1,506.43 / $1,806.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,330.22 / $1,760.58 / $1,956.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.00 / $541.00 / $561.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,216.64 / $1,872.84 / $2,400.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $2,268.00 / $7,325.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,117.99 / $1,491.20 / $2,477.92