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New York 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
$416.14 / $3,060.00 / $10,170.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.08 / $356.40 / $679.72
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,373.00 / $4,463.00 / $48,679.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.17 / $330.54 / $761.41
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.59 / $466.59 / $10,957.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.59 / $466.59 / $466.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.05 / $3,479.91 / $27,393.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.75 / $495.00 / $1,223.81
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.00 / $362.02 / $8,364.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.98 / $465.37 / $695.81
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.14 / $312.14 / $312.14
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.79 / $383.22 / $618.59
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.05 / $3,479.91 / $36,010.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.75 / $483.19 / $1,132.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,269.00 / $4,445.00 / $12,106.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.86 / $391.12 / $853.04
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.58 / $398.58 / $887.21
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.79 / $419.20 / $847.34