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New York 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
$1,549.91 / $5,699.00 / $22,762.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,137.64 / $1,384.54 / $2,586.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,768.00 / $8,812.00 / $30,866.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.89 / $1,293.85 / $2,947.34
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,805.23 / $13,261.00 / $37,499.62
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,805.23 / $1,805.23 / $1,805.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,455.76 / $24,654.00 / $36,587.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.66 / $1,945.87 / $4,733.89
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $1,537.78 / $30,278.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,377.50 / $1,767.66 / $2,647.87
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,182.91 / $1,182.91 / $1,182.91
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.22 / $1,512.91 / $2,348.04
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,455.76 / $14,057.00 / $36,587.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.66 / $1,842.02 / $4,407.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,160.00 / $9,136.00 / $40,496.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,078.35 / $1,519.33 / $3,484.38
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,512.91 / $1,512.91 / $3,776.93
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.22 / $1,696.79 / $3,216.33