go back

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
$3,013.00 / $7,521.00 / $10,492.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,807.00 / $13,316.00 / $20,413.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$998.00 / $4,177.78 / $4,809.92
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,608.60 / $5,857.98 / $6,165.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,656.00 / $11,277.00 / $21,600.00