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Delaware 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
$1,105.25 / $7,960.43 / $24,498.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,735.00 / $19,000.00 / $19,000.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,972.74 / $10,693.54 / $28,860.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,924.00 / $19,000.00 / $19,000.00