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Arizona rates for HCPCS 43771

Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric restrictive device component only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,095.00 / $4,521.00 / $15,136.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,137.64 / $1,295.73 / $1,998.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,295.20 / $4,835.95 / $8,473.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,303.74 / $1,489.98 / $1,732.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,746.00 / $16,746.00 / $22,327.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.77 / $1,443.47 / $2,763.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,177.94 / $1,506.43 / $7,511.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,105.42 / $1,416.63 / $9,854.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.00 / $6,336.00 / $28,060.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,076.78 / $1,342.08 / $2,478.64