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Wyoming 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
$295.08 / $304.86 / $461.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$878.00 / $1,054.00 / $1,631.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.84 / $562.53 / $765.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $5,606.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.69 / $603.85 / $1,257.97