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Pennsylvania rates for HCPCS 43775

Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy)

Facilitymedian $7,943 · 10th–90th $1,585$21,3800%10%10th90th$7,943$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $7,943.28 / $21,379.62
Aetna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$13,489.63 / $13,489.63 / $14,125.38
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $13,182.57 / $53,703.18
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $21,379.62 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $794.33 / $1,905.46
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$2,290.87 / $2,290.87 / $2,290.87
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$190.55 / $190.55 / $190.55
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $2,290.87 / $2,290.87
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $8,317.64 / $17,378.01
Highmark BCBS
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$14,454.40 / $14,454.40 / $14,454.40
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $7,943.28 / $26,302.68
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $4,073.80 / $12,302.69
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,513.56 / $1,513.56
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $1,318.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $5,623.41 / $8,709.64