go back

Ohio 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
$1,610.00 / $5,355.00 / $11,627.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,082.00 / $3,405.00 / $15,092.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.63 / $1,102.35 / $1,364.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.00 / $2,262.39 / $3,816.75
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$107.75 / $107.75 / $107.75
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.00 / $2,262.39 / $2,843.32
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$107.75 / $107.75 / $107.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.00 / $9,154.00 / $15,469.00