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Minnesota 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
$338.84 / $338.84 / $2,238.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $389.05 / $707.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $7,244.36 / $16,595.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $912.01 / $1,348.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,318.26 / $3,162.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $1,000.00 / $1,548.82
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,258.93 / $2,454.71
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $891.25 / $1,445.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $562.34 / $2,089.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $676.08 / $2,691.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $4,265.80 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $645.65 / $1,230.27