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Arizona 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
$1,170.00 / $3,055.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.31 / $373.74 / $558.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,660.00 / $6,198.03 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.97 / $435.39 / $506.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,664.27 / $2,300.79 / $22,327.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.43 / $401.11 / $787.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.08 / $429.91 / $4,398.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.06 / $399.76 / $2,705.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $4,398.00 / $7,217.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.66 / $380.88 / $708.50