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Idaho 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
$2,884.03 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,380.38 / $3,311.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $6,760.83 / $15,135.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,398.83 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,905.46 / $2,630.27
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,905.46 / $3,890.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $2,238.72 / $2,630.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,471.29 / $14,125.38 / $18,197.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,454.71 / $3,090.30
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,202.26 / $9,332.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,232.93 / $33,113.11 / $35,481.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,778.28 / $2,630.27