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Delaware 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
$3,140.00 / $3,140.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.47 / $372.36 / $515.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,404.00 / $2,147.46 / $2,147.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.68 / $383.92 / $645.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,248.00 / $2,200.00 / $2,200.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.99 / $357.05 / $837.99