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Virginia 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
$1,275.58 / $8,622.26 / $21,816.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,531.00 / $17,046.58 / $23,861.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $610.00 / $1,264.70
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$123.14 / $123.14 / $123.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,008.05 / $1,245.24 / $1,968.66
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,182.03 / $1,556.84 / $2,136.96
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$327.73 / $335.40 / $513.40
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$220.95 / $234.78 / $359.38
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,215.07 / $1,581.65 / $2,685.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,020.00 / $12,407.00 / $26,244.00