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Arizona rates for HCPCS 43775

Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,070.00 / $6,060.00 / $20,961.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,872.74 / $6,992.33 / $12,252.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,995.00 / $11,995.00 / $22,327.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,011.16 / $1,352.13 / $12,334.80
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$268.14 / $502.13 / $502.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,472.00 / $9,437.00 / $28,060.00