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Iowa 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
$1,584.89 / $3,981.07 / $6,760.83
Aetna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$9,549.93 / $9,549.93 / $9,549.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $4,786.30 / $4,786.30
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,621.81 / $4,466.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $2,137.96 / $11,481.54
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,137.96 / $2,570.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $4,786.30 / $4,786.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $10,471.29 / $16,218.10