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Indiana rates for HCPCS 43775

Laps Gstrc Rstrictiv Px Longitudinal Gastrectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,054.77 / $6,949.60 / $18,500.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,531.00 / $18,682.34 / $27,646.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.87 / $1,258.23 / $1,451.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.00 / $761.00 / $1,264.70
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$123.14 / $123.14 / $123.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,300.00 / $11,955.00 / $17,649.00