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Delaware 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
$963.35 / $2,475.80 / $10,264.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,371.00 / $5,490.00 / $5,490.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,490.00 / $5,490.00 / $18,770.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,311.00 / $5,170.00 / $5,170.00