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Indiana rates for HCPCS 43771

Laps Gastric Restrictive Px Revision Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,224.72 / $1,386.00 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.94 / $1,283.38 / $1,726.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,531.00 / $18,682.34 / $27,646.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.72 / $1,284.65 / $1,772.81
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,129.61 / $1,468.51 / $1,694.43
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,129.61 / $1,355.54 / $1,694.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.00 / $761.00 / $1,455.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,186.33 / $1,507.24 / $2,538.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,029.00 / $8,628.00 / $12,569.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,076.59 / $1,393.73 / $2,295.08