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Kentucky 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
$1,380.38 / $8,317.64 / $20,417.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $10,715.19 / $15,135.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,174.90 / $1,659.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $1,905.46 / $1,905.46
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$2,290.87 / $2,290.87 / $2,290.87
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$190.55 / $190.55 / $190.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $2,570.40 / $15,135.61