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Virginia rates for HCPCS 43887

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

Facilitymedian $575 · 10th–90th $331$5,7540%5%10%10th90th$575Professionalmedian $372 · 10th–90th $295$6610%10%20%10th90th$372$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$398.11 / $3,235.94 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $354.81 / $630.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,981.07 / $4,466.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $436.52 / $660.69
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $371.54 / $3,235.94
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $1,000.00 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $380.19 / $630.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $398.11 / $724.44
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $407.38 / $524.81
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $436.52 / $660.69
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $389.05 / $1,445.44
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $389.05 / $1,445.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $2,511.89 / $5,370.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $371.54 / $630.96