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Removal of a Gastric Band Access Port

Oregon rates for HCPCS 43887

Takes out the small access port that sits just under the skin of the abdomen and connects by tubing to an adjustable band around the stomach. The port is the part used to add or remove fluid to tighten or loosen the band. Only the port is removed; the band itself stays where it is.

Rates data updated July 2026.

Facilitymedian $631 · 10th–90th $355$9120%20%10th90th$631Professionalmedian $603 · 10th–90th $324$9330%20%10th90th$603$5.0$50.0$500.0$5.0K$50.0K$500.0K

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
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$5,011.87
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$354.81
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$602.56
Typical High
$891.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$691.83
Typical High
$831.76
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$457.09
Typical High
$758.58
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$602.56
Typical High
$851.14
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$630.96
Typical High
$645.65
Providence
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$467.74
Typical High
$776.25
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$645.65
Typical High
$912.01
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$6,025.60
Typical High
$7,762.47
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$776.25
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$5,128.61
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$616.60
Typical High
$912.01