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South 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
$2,570.40 / $13,182.57 / $41,686.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $4,168.69 / $8,709.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $562.34 / $1,621.81
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $1,513.56
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,288.25 / $2,041.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $12,589.25 / $21,877.62