go back

West 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
$1,258.93 / $26,915.35 / $56,234.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,479.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $1,905.46 / $1,905.46
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
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,302.68 / $28,183.83 / $48,977.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $7,079.46