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Delaware 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
$4,736.00 / $4,736.00 / $6,907.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,371.00 / $4,371.00 / $4,371.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,248.00 / $2,200.00 / $2,200.00