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Indiana rates for HCPCS 43881

Implantation or replacement of gastric neurostimulator electrodes, antrum, open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$686.36 / $1,386.00 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.12 / $686.36 / $905.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,600.00 / $11,226.46 / $15,429.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.51 / $363.77 / $673.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$621.32 / $869.85 / $1,812.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.32 / $712.96 / $1,189.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.00 / $761.00 / $843.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.08 / $832.00 / $1,337.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.00 / $5,076.00 / $10,396.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.66 / $976.61 / $1,743.40