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Alaska rates for HCPCS 43887

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,464.00 / $6,782.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.55 / $357.63 / $1,712.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.70 / $496.86 / $1,066.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.87 / $1,712.93 / $2,398.10
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.03 / $1,191.90 / $2,196.65
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.76 / $1,523.20 / $2,459.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.87 / $1,712.93 / $2,398.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.25 / $1,180.00 / $2,081.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.97 / $943.00 / $2,352.96