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Oklahoma 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
$1,202.29 / $5,946.00 / $18,600.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,723.84 / $13,548.97 / $21,205.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,321.00 / $2,321.00 / $8,274.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.47 / $1,683.21 / $12,334.80
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$502.13 / $502.13 / $502.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,851.00 / $7,307.00 / $33,741.00