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Minnesota rates for HCPCS 43887

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

Facilitymedian $1,950 · 10th–90th $355–$6,4570%5%10%10th90th$1,950Professionalmedian $692 · 10th–90th $324–$1,2300%10%10th90th$692$50.0$200.0$1.0K$5.0K

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
$309.03 / $309.03 / $2,238.72
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $346.74 / $549.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $4,073.80 / $8,317.64
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $870.96 / $1,230.27
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $1,202.26 / $2,818.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $912.01 / $1,412.54
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $1,148.15 / $2,238.72
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $812.83 / $1,288.25
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $524.81 / $1,995.26
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $630.96 / $2,454.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $2,691.53 / $6,456.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $602.56 / $1,122.02