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Delaware rates for HCPCS 43771

Laps Gastric Restrictive Px Revision Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,736.00 / $4,736.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,273.36 / $1,283.58 / $1,738.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,371.00 / $4,371.00 / $4,371.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,126.51 / $1,405.76 / $2,203.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,248.00 / $2,200.00 / $2,200.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,064.29 / $1,312.11 / $2,947.69