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Virginia rates for HCPCS 43772

Laps Gastric Restrictive Px Remove Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.55 / $5,412.00 / $15,165.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,207.00 / $10,161.00 / $11,407.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $610.00 / $1,083.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.71 / $1,089.18 / $1,557.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$982.91 / $1,247.99 / $1,791.08
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$935.47 / $1,181.14 / $2,224.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,236.00 / $8,246.00 / $17,187.00