go back

Utah rates for HCPCS 43881

Impltj/Rplcmt Gastric Nstim Eltrde Antrum Open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.63 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.63 / $682.03 / $1,339.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.88 / $1,028.14 / $1,499.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $80.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.61 / $1,126.16 / $1,351.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.00 / $2,446.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.92 / $788.14 / $1,285.43