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Ohio 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
$1,409.32 / $5,355.00 / $10,817.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,082.00 / $3,405.00 / $15,092.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.12 / $1,089.74 / $1,348.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $581.00 / $1,200.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $562.00 / $1,200.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$925.00 / $5,460.00 / $7,853.00