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North Carolina rates for HCPCS 43774

Laps Gastric Restrictive Px Remove Device & Port

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,456.06 / $7,993.00 / $22,842.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.00 / $1,927.35 / $3,635.94
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$107.75 / $107.75 / $107.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$946.38 / $1,187.00 / $1,690.87
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$235.26 / $269.60 / $348.18
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$152.85 / $188.72 / $238.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,543.00 / $6,360.00 / $26,739.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,793.88 / $13,044.12 / $14,630.00
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$211.41 / $1,008.48 / $1,008.48