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Utah rates for HCPCS 43773

Laps Gastric Restrictive Px Remove&Rplcmt Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,675.46 / $4,312.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.94 / $1,675.46 / $3,671.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,155.00 / $1,769.10 / $2,638.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.48 / $839.10 / $1,227.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,370.62 / $10,940.20 / $15,943.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,599.66 / $3,398.25 / $5,497.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $7,693.00 / $17,894.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,151.02 / $1,565.76 / $2,684.16