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Ohio rates for HCPCS 43775

Laps Gstrc Rstrictiv Px Longitudinal Gastrectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,878.14 / $9,124.25 / $20,466.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,501.00 / $13,743.00 / $25,522.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,056.44 / $1,267.73 / $1,569.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $581.00 / $1,264.70
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$123.14 / $123.14 / $123.14
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $1,264.70 / $9,785.10
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$123.14 / $123.14 / $123.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $7,705.00 / $13,382.00