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North Carolina 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
$1,260.33 / $2,675.00 / $17,999.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,194.19 / $1,278.83 / $2,141.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,414.38 / $2,193.91 / $3,175.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $518.28 / $35,600.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,322.92 / $1,877.91 / $3,264.61
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,209.43 / $1,554.34 / $2,226.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$884.81 / $1,616.00 / $3,326.84
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,291.09 / $1,730.70 / $2,594.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$902.00 / $1,557.00 / $13,997.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,076.33 / $1,439.60 / $3,442.93
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,328.60 / $14,630.00 / $17,314.56
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,854.73 / $9,854.73 / $11,047.88