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Texas 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
$1,148.15 / $6,309.57 / $16,982.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,949.84 / $11,748.98
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $1,202.26 / $3,981.07
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $977.24 / $1,071.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $11,748.98 / $25,703.96
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,791.08 / $22,387.21 / $22,387.21
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,479.11 / $1,479.11 / $1,479.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,548.82 / $7,244.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,445.44 / $2,630.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $8,912.51 / $20,892.96