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Vermont rates for HCPCS 43887

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $346.74 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $501.19 / $1,348.96
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $457.09 / $831.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $457.09 / $870.96