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Indiana 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
$1,224.72 / $1,909.06 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.94 / $1,283.38 / $1,726.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,683.00 / $11,305.00 / $30,091.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.88 / $1,284.84 / $1,773.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,129.61 / $1,468.51 / $1,694.43
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,129.61 / $1,355.54 / $1,694.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.00 / $761.00 / $1,455.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,186.55 / $1,507.46 / $2,538.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,529.00 / $10,604.00 / $18,943.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,116.70 / $1,385.78 / $2,420.54