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Kentucky 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
$787.00 / $1,734.40 / $8,229.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,830.00 / $8,584.00 / $11,253.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.54 / $1,236.03 / $1,425.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.76 / $1,083.76 / $1,083.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$631.00 / $1,121.00 / $19,776.00