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Texas rates for HCPCS 43774

Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components

Facilitymedian $3,715 · 10th–90th $1,000–$12,0230%5%10th90th$3,715$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $4,365.16 / $12,589.25
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $4,570.88 / $10,232.93
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $3,311.31 / $5,495.41
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $891.25 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $4,365.16 / $30,902.95
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $4,365.16 / $11,220.18
Lucent Health
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$1,122.02 / $1,122.02 / $1,122.02
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$912.01 / $1,318.26 / $4,677.35
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$912.01 / $1,202.26 / $2,238.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $9,332.54 / $22,387.21