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New Jersey 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
$4,466.84 / $8,511.38 / $28,840.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,380.38 / $3,548.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $12,882.50 / $67,608.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,621.81 / $3,162.28
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,698.24 / $2,570.40
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $13,803.84 / $27,542.29
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,479.11 / $3,019.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $10,471.29 / $36,307.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,348.96 / $2,630.27