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North Carolina 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
$1,260.33 / $6,735.00 / $19,019.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,200.89 / $1,278.83 / $2,157.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,414.23 / $2,091.61 / $3,183.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $518.28 / $35,600.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,323.21 / $1,877.91 / $3,264.61
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,209.28 / $1,554.80 / $2,247.44
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$884.67 / $1,619.00 / $3,326.84
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,352.90 / $1,789.47 / $2,594.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,461.00 / $2,050.00 / $17,120.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,081.45 / $1,485.12 / $3,730.48
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,328.60 / $14,630.00 / $17,314.56
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,854.73 / $9,854.73 / $11,047.88