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Kentucky 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
$933.25 / $2,630.27 / $8,511.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $10,715.19 / $11,220.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,023.29 / $1,445.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $1,659.59 / $1,659.59
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$1,949.84 / $1,949.84 / $1,949.84
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$165.96 / $165.96 / $165.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,801.89 / $19,498.45