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Oklahoma 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
$758.58 / $2,454.71 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $389.05 / $645.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $7,079.46 / $11,481.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $478.63 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $8,317.64 / $8,317.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $446.68 / $616.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $549.54 / $6,025.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $416.87 / $2,691.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $4,265.80 / $8,317.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $380.19 / $562.34