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South Carolina rates for HCPCS 43886

Gastric restrictive procedure, open; revision of subcutaneous port component only

Facilitymedian $3,802 · 10th–90th $407–$15,4880%5%10%10th90th$3,802Professionalmedian $398 · 10th–90th $324–$6030%20%10th90th$398$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $7,762.47 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $398.11 / $549.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $4,677.35 / $8,912.51
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $371.54 / $489.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $616.60 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $446.68 / $912.01
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $416.87 / $457.09
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $467.74 / $776.25
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $12,302.69 / $19,498.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $380.19 / $645.65