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North Carolina 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
$936.10 / $6,765.35 / $17,614.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $518.28 / $35,600.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$901.60 / $1,171.31 / $1,661.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$902.00 / $1,557.00 / $13,997.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,666.20 / $12,896.40 / $14,630.00