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Ohio 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
$491.84 / $2,485.00 / $10,268.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.32 / $330.76 / $598.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.00 / $2,443.00 / $8,800.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.20 / $322.55 / $531.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.08 / $380.51 / $470.97
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.80 / $348.80 / $487.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.05 / $581.00 / $1,996.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.75 / $428.07 / $658.15
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.05 / $581.00 / $1,487.12
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.70 / $437.77 / $653.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.64 / $342.70 / $475.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.00 / $2,499.00 / $5,235.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.95 / $378.81 / $674.95