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Colorado 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
$1,768.00 / $5,583.00 / $20,660.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,128.00 / $12,001.00 / $26,680.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.00 / $1,083.76 / $4,371.00
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$956.00 / $1,227.56 / $1,624.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,113.78 / $1,401.51 / $2,041.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,777.00 / $15,704.00 / $33,045.00