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California rates for HCPCS 43773

Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device component only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $10,715.19 / $25,703.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,380.38 / $5,370.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $13,803.84 / $19,498.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,621.81 / $3,019.95
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $100.00 / $12,022.64
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,621.81 / $3,090.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $10,715.19 / $34,673.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,548.82 / $2,951.21
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,318.26 / $1,819.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,318.26 / $2,691.53
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $7,585.78 / $17,378.01
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,772.37 / $10,964.78 / $10,964.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $1,862.09 / $1,862.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,584.89 / $2,691.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,548.82 / $3,235.94
Sutter Health Plus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,512.09 / $29,512.09 / $29,512.09
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $4,073.80 / $4,073.80
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,380.38 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $11,481.54 / $27,542.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,348.96 / $2,570.40