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Minnesota 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
$1,148.15 / $1,148.15 / $5,011.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,348.96 / $2,511.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $9,120.11 / $26,302.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $3,162.28 / $4,677.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $4,365.16 / $10,471.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $3,388.44 / $5,248.07
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $4,265.80 / $8,317.64
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $3,019.95 / $4,786.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,949.84 / $3,890.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $2,344.23 / $9,772.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $3,981.07 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $2,238.72 / $4,265.80