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New York 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
$2,238.72 / $4,677.35 / $22,908.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $7,585.78 / $32,359.37
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $37,153.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $14,125.38 / $25,118.86
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $2,344.23 / $7,079.46
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $1,778.28 / $1,778.28
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $5,011.87 / $38,904.51
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $2,290.87 / $6,918.31