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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
$2,187.76 / $4,786.30 / $15,488.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,380.38 / $3,388.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $3,388.44 / $6,309.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,659.59 / $2,691.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,620.87 / $18,620.87 / $25,118.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,445.44 / $2,570.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,548.82 / $14,454.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,548.82 / $9,772.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $4,073.80 / $23,988.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,318.26 / $2,398.83