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Pennsylvania rates for HCPCS 43774

Laps Gastric Restrictive Px Remove Device & Port

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,026.83 / $4,410.00 / $10,638.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,296.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $2,269.00 / $5,284.75
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$107.75 / $107.75 / $107.75
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,166.17 / $2,166.17 / $2,166.17
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,649.10 / $9,050.62 / $12,830.68
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,026.83 / $4,761.00 / $10,638.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,033.80 / $1,033.80 / $1,033.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $2,109.00 / $5,028.74
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$107.75 / $107.75 / $107.75
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$894.37 / $894.94 / $941.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,591.00 / $7,000.00 / $14,299.00