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North Carolina 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
$325.55 / $3,670.53 / $10,924.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.89 / $330.76 / $547.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.22 / $328.04 / $556.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.02 / $535.83 / $814.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.41 / $1,008.05 / $1,901.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.44 / $474.56 / $838.92
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.75 / $390.66 / $573.97
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.76 / $462.00 / $1,145.58
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.10 / $431.70 / $683.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.00 / $650.00 / $4,824.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.94 / $377.92 / $1,000.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,254.88 / $1,500.00 / $5,564.75
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,392.88 / $2,392.88 / $2,908.58