go back

Idaho rates for HCPCS 43881

Impltj/Rplcmt Gastric Nstim Eltrde Antrum Open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.12 / $934.59 / $1,938.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.19 / $1,047.45 / $1,263.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.38 / $1,589.95 / $2,481.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $55.00 / $3,900.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,208.96 / $1,422.31 / $1,436.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $15,298.00 / $26,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.41 / $901.80 / $1,498.90