go back

New Jersey 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
$4,466.84 / $8,511.38 / $28,840.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,380.38 / $3,548.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $12,882.50 / $67,608.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,621.81 / $3,162.28
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,659.59 / $2,454.71
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $5,011.87 / $21,877.62
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,479.11 / $3,090.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $8,912.51 / $36,307.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,348.96 / $2,630.27