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Michigan rates for HCPCS 43773

Laps Gastric Restrictive Px Remove&Rplcmt Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,654.53 / $4,112.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,137.64 / $1,391.86 / $1,654.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,694.33 / $6,940.57 / $9,303.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.97 / $1,828.54 / $3,290.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.46 / $1,569.20 / $3,017.04
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,325.05 / $4,112.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,287.59 / $1,410.23 / $2,025.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.35 / $995.14 / $1,579.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,069.00 / $9,680.00 / $19,256.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.08 / $1,662.58 / $2,174.15