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Kentucky 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
$787.00 / $1,303.21 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,163.63 / $1,273.36 / $1,574.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,990.00 / $9,565.00 / $11,253.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,015.12 / $1,233.42 / $1,752.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,208.44 / $1,658.64 / $1,913.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,304.44 / $1,658.64 / $2,369.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,455.76 / $1,455.76 / $1,455.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,235.71 / $1,613.07 / $2,440.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,303.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.00 / $1,298.00 / $19,776.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.49 / $1,557.74 / $2,483.21