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California rates for HCPCS 43775

Laps Gstrc Rstrictiv Px Longitudinal Gastrectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,530.35 / $14,353.00 / $25,999.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,518.00 / $12,766.00 / $25,103.02
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.90 / $100.00 / $15,436.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$664.60 / $13,360.00 / $34,622.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$123.14 / $123.14 / $123.14
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.33 / $1,142.04 / $1,610.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.61 / $1,304.58 / $2,463.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$236.30 / $236.30 / $500.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$236.30 / $236.30 / $236.30
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,334.80 / $14,824.56 / $22,630.00
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$214.91 / $502.13 / $521.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,063.48 / $1,324.91 / $2,063.69
Providence
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$424.37 / $424.37 / $424.37
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$123.14 / $123.14 / $360.71
Sutter Health Plus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,585.00 / $29,585.00 / $29,585.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,169.00 / $13,000.00 / $31,796.00