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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
$2,249.00 / $7,365.00 / $14,670.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,341.79 / $1,379.54 / $2,104.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,212.29 / $3,654.68 / $18,747.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,608.28 / $1,892.09 / $1,892.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$914.00 / $914.00 / $914.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,180.39 / $1,719.33 / $2,566.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,282.15 / $1,744.33 / $11,724.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,305.70 / $1,626.65 / $9,854.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,405.00 / $3,572.00 / $18,778.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,266.31 / $1,563.74 / $2,611.17