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Montana rates for HCPCS 43888

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

Facilitymedian $794 · 10th–90th $550–$1,0720%20%40%10th90th$794Professionalmedian $550 · 10th–90th $427–$1,1750%10%20%10th90th$550$100.0$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
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $489.78 / $1,148.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $741.31 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $630.96 / $1,412.54
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $812.83 / $954.99
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $812.83 / $954.99
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $660.69 / $1,148.15
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $741.31 / $1,258.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $588.84 / $588.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $741.31 / $1,000.00