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Alaska rates for HCPCS 43886

Gastric restrictive procedure, open; revision of subcutaneous port component only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $6,606.93 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $436.52 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $512.86 / $1,174.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $537.03 / $1,905.46
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,202.26 / $2,344.23
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,513.56 / $2,089.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $588.84 / $1,380.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $549.54 / $1,174.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $954.99 / $2,290.87