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Delaware 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
$3,140.00 / $3,140.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.76 / $334.72 / $461.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,076.40 / $1,076.40 / $1,404.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.67 / $358.24 / $577.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.00 / $1,320.00 / $1,320.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.37 / $337.12 / $753.85