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Utah rates for HCPCS 43771

Laps Gastric Restrictive Px Revision Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,675.46 / $4,312.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.94 / $1,675.46 / $3,671.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,155.00 / $1,769.10 / $2,631.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.32 / $871.48 / $1,229.42
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,599.66 / $3,402.45 / $5,452.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $17,894.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,151.02 / $1,491.20 / $2,460.48