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Oklahoma 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
$1,048.00 / $3,803.00 / $12,600.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,813.00 / $12,134.35 / $18,991.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,321.00 / $8,274.00 / $8,274.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$945.75 / $1,345.08 / $10,793.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.00 / $4,683.00 / $33,741.00