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New Jersey rates for HCPCS 43771

Laps Gastric Restrictive Px Revision Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,573.02 / $6,064.00 / $22,900.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,113.25 / $1,273.36 / $2,167.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,079.00 / $50,431.00 / $67,941.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.43 / $1,683.93 / $3,325.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,377.50 / $1,983.37 / $2,396.78
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,046.49 / $1,519.56 / $3,276.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,090.00 / $10,536.00 / $35,281.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.14 / $1,345.42 / $2,791.82