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New Hampshire rates for HCPCS 43771

Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric restrictive device component only

Facilitymedian $11,482 · 10th–90th $2,399–$35,4810%10%10th90th$11,482Professionalmedian $1,660 · 10th–90th $1,202–$3,1620%10%10th90th$1,660$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $4,365.16 / $11,481.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,348.96 / $2,570.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,135.61 / $25,703.96 / $38,904.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $2,511.89 / $3,715.35
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,905.46 / $3,235.94
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $4,466.84 / $10,000.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,995.26 / $3,162.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $4,466.84 / $10,000.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $2,041.74 / $3,715.35
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $741.31 / $1,513.56