go back

Connecticut rates for HCPCS 43771

Laps Gastric Restrictive Px Revision Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,013.00 / $7,521.00 / $10,492.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.30 / $1,738.39 / $2,999.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,807.00 / $15,783.00 / $21,044.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,209.34 / $2,700.14 / $3,351.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$998.00 / $998.00 / $998.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.77 / $1,949.84 / $3,810.42
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,277.04 / $5,857.98 / $6,165.72
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,594.89 / $1,983.37 / $2,647.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,048.00 / $7,771.00 / $14,684.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,160.22 / $2,003.36 / $4,818.35