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Indiana rates for HCPCS 43887

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

Facilitymedian $6,918 · 10th–90th $603–$10,4710%10%10th90th$6,918Professionalmedian $355 · 10th–90th $295–$6170%20%10th90th$355$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$363.08 / $3,801.89 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $354.81 / $630.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,168.69 / $8,912.51 / $11,220.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $302.00 / $512.86
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $331.13 / $371.54
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $288.40 / $288.40
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $467.74 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $389.05 / $660.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $3,715.35 / $6,456.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $346.74 / $562.34