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Nationwide rates for HCPCS 43772

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $5,370.32 / $15,135.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $11,481.54 / $19,498.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $1,621.81 / $19,952.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $6,165.95 / $20,892.96