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Oregon rates for HCPCS 43772

Laps Gastric Restrictive Px Remove Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,869.02 / $7,920.26 / $30,593.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,664.70 / $1,664.70 / $1,664.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,497.98 / $1,966.99 / $2,409.10
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,069.39 / $1,778.57 / $2,609.27
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,328.98 / $1,824.81 / $1,914.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.55 / $1,943.53 / $2,609.27
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,453.20 / $11,142.10 / $14,336.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,895.00 / $11,770.00 / $26,404.00