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Maryland rates for HCPCS 43773

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.85 / $1,436.43 / $1,901.39
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.75 / $1,342.75 / $2,081.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.00 / $629.00 / $4,371.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,126.41 / $1,555.25 / $2,964.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.09 / $1,549.75 / $2,181.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,236.00 / $1,679.00 / $3,590.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,060.86 / $1,419.70 / $2,471.19
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.65 / $1,549.75 / $1,889.22