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Idaho 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
$1,412.54 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $354.81 / $870.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $2,187.76 / $4,786.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $630.96 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $489.78 / $676.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $501.19 / $1,000.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $602.56 / $676.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $4,073.80 / $6,025.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $630.96 / $691.83
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $338.84 / $3,548.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $6,165.95 / $7,762.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $446.68 / $676.08