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Virginia 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
$1,230.27 / $5,888.44 / $16,982.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $11,220.18 / $11,481.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $616.60 / $2,089.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,047.13 / $1,737.80
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,318.26 / $1,621.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,258.93 / $1,905.46
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,148.15 / $4,168.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $14,125.38 / $35,481.34