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Idaho rates for HCPCS 43773

Laps Gastric Restrictive Px Remove&Rplcmt Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,897.00 / $4,500.00 / $7,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,251.75 / $1,738.39 / $3,671.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,295.25 / $1,956.10 / $2,393.59
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,326.86 / $2,442.34 / $4,038.29
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,061.76 / $2,186.71 / $2,499.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,735.72 / $2,183.65
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,817.25 / $14,025.11 / $17,482.34
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,176.59 / $2,560.69 / $2,589.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,120.00 / $32,210.00 / $34,436.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,323.01 / $1,766.88 / $2,758.72