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Minnesota rates for HCPCS 43848

Revision, open, of gastric restrictive procedure for morbid obesity, other than adjustable gastric restrictive device (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $1,737.80 / $1,737.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $11,481.54 / $26,915.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $6,606.93 / $15,848.93
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $6,309.57 / $12,589.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $2,754.23 / $5,370.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $3,311.31 / $8,511.38