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Kansas 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
$2,238.72 / $5,495.41 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,380.38 / $2,238.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $3,630.78 / $4,073.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $1,905.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,584.89 / $2,630.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,778.28 / $14,791.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,621.81 / $9,772.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $3,630.78 / $15,848.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,513.56 / $2,238.72