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Michigan 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
$4,073.80 / $4,073.80 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,380.38 / $2,238.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $501.19 / $1,819.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,951.21 / $3,162.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,698.24 / $3,715.35
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $4,073.80 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,445.44 / $1,905.46
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,513.56 / $2,884.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $7,943.28 / $18,197.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,548.82 / $2,187.76