go back

Arizona rates for HCPCS 43888

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $3,715.35 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $501.19 / $1,288.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $4,365.16 / $7,943.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $616.60 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $2,187.76 / $25,118.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $512.86 / $933.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $588.84 / $4,897.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $549.54 / $3,388.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $3,890.45 / $7,244.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $467.74 / $851.14