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Connecticut 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
$4,570.88 / $9,120.11 / $21,379.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,762.47 / $14,125.38 / $26,302.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $5,888.44 / $6,165.95
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,232.93 / $12,302.69 / $26,302.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $10,964.78 / $18,620.87