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Alabama rates for HCPCS 43774

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.00 / $1,399.00 / $2,250.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,974.38 / $8,463.73 / $11,386.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,560.00 / $7,248.00 / $17,126.00