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Connecticut 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
$3,162.28 / $6,918.31 / $18,620.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $14,125.38 / $26,302.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,951.21 / $4,786.30
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $5,888.44 / $6,165.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $11,220.18 / $21,379.62