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Connecticut rates for HCPCS 43847

Gastric Rstcv W/Byp W/Sm Int Rcnstj Limit Absrpj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,643.18 / $7,629.00 / $10,492.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,616.60 / $2,442.92 / $4,233.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,807.00 / $9,758.54 / $13,316.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,678.33 / $3,817.61 / $4,738.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$998.00 / $998.00 / $998.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,776.85 / $2,742.07 / $5,376.13
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.58 / $886.65 / $1,945.41
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,125.59 / $2,792.93 / $3,739.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.00 / $4,738.00 / $16,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,628.56 / $2,883.77 / $6,792.30