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Arizona rates for HCPCS 43774

Laps Gastric Restrictive Px Remove Device & Port

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,857.20 / $4,521.00 / $8,104.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,295.20 / $4,835.95 / $8,473.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,594.95 / $2,204.96 / $22,327.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.35 / $1,143.59 / $10,793.88
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$237.43 / $1,008.48 / $1,008.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,511.00 / $10,508.00 / $28,060.00