go back

Maryland 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
$5,128.61 / $5,128.61 / $6,309.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $1,778.28 / $2,041.74
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,047.13 / $1,479.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $4,786.30 / $9,772.37