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Michigan 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
$1,479.11 / $6,606.93 / $13,182.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $1,584.89 / $2,511.89
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $4,897.79 / $11,748.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $7,762.47 / $17,378.01