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Idaho 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
$1,412.54 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $398.11 / $977.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $3,981.07 / $9,332.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $707.95 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $537.03 / $758.58
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $562.34 / $1,122.02
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $676.08 / $758.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $8,128.31 / $11,220.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $707.95 / $776.25
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $380.19 / $5,754.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $16,982.44 / $18,197.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $501.19 / $758.58