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Washington, DC rates for HCPCS 43771

Laps Gastric Restrictive Px Revision Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,494.57 / $4,848.00 / $6,456.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,219.32 / $1,494.57 / $3,340.79
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,343.91 / $1,343.91 / $5,615.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,145.30 / $1,528.58 / $3,675.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,324.83 / $2,595.36 / $2,900.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,648.00 / $7,711.00 / $26,408.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.71 / $1,455.05 / $3,525.52