go back

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
$1,122.64 / $7,865.00 / $20,429.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,207.00 / $10,161.00 / $11,407.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $1,095.64 / $2,110.51
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$107.75 / $107.75 / $107.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.07 / $1,087.01 / $1,575.14
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$993.70 / $1,264.85 / $1,811.36
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$235.26 / $269.60 / $387.07
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$164.68 / $188.72 / $266.88
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$945.33 / $1,183.24 / $2,249.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,164.00 / $14,004.00 / $31,849.00