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Nationwide rates for HCPCS 43774

Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components

Facilitymedian $6,310 · 10th–90th $1,230–$18,6210%10%10th90th$6,310Professionalmedian $1,318 · 10th–90th $832–$4,5710%20%10th90th$1,318$1.0$10.0$100.0$1.0K$10.0K$100.0K$1.0M

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $5,754.40 / $16,982.44
Aetna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$8,709.64 / $8,709.64 / $9,549.93
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $11,481.54 / $19,498.45
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $2,818.38 / $30,902.95
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$1,949.84 / $1,949.84 / $1,949.84
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$165.96 / $165.96 / $165.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $10,000.00 / $24,547.09

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