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New York 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
$1,544.00 / $4,911.00 / $12,089.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,137.64 / $1,392.04 / $2,586.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,574.00 / $7,506.00 / $14,226.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,039.35 / $1,285.66 / $2,938.25
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,805.23 / $13,261.00 / $37,499.62
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,805.23 / $1,805.23 / $1,805.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,455.76 / $27,393.00 / $36,587.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.66 / $1,943.69 / $4,733.89
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,537.78 / $30,278.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,377.50 / $1,766.77 / $2,647.87
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,182.91 / $1,182.91 / $1,182.91
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.25 / $1,360.35 / $2,348.04
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,455.76 / $15,713.00 / $36,587.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.66 / $1,842.02 / $4,410.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,693.00 / $7,787.00 / $40,496.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,079.45 / $1,519.33 / $3,855.52
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,512.91 / $1,512.91 / $3,775.59
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.25 / $1,696.79 / $3,216.33