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New York 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
$1,163.76 / $5,298.00 / $12,267.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,248.00 / $6,041.00 / $48,679.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,337.40 / $13,261.00 / $37,499.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.76 / $7,227.90 / $27,393.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,144.00 / $14,968.00
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$881.30 / $881.30 / $881.30
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,889.07 / $7,889.07 / $7,889.07
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.76 / $7,227.90 / $31,478.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,694.00 / $7,787.00 / $40,496.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,125.26 / $1,125.26 / $2,880.65