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Minnesota rates for HCPCS 43771

Laps Gastric Restrictive Px Revision Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,149.30 / $1,149.30 / $4,828.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,137.64 / $1,251.75 / $2,087.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,662.57 / $7,688.10 / $14,508.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,192.33 / $3,716.06 / $4,507.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,677.78 / $4,179.33 / $10,053.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,129.60 / $3,508.23 / $5,214.24
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,320.54 / $3,813.91 / $7,916.49
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,108.52 / $3,114.33 / $4,781.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,239.33 / $2,108.41 / $3,834.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,455.05 / $2,850.20 / $9,854.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $5,499.00 / $9,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,396.36 / $2,638.37 / $4,957.35