Fee Navigator®

    Health Service Code 56.93B

    Adjustable gastric band fill

    1. A repeat is payable at a reduced rate; refer to the Price List.
    2. A maximum of four repeat fills may be claimed per patient, per physician, per calendar year.
    Category:M Minor Procedure
    Base rate:$159.39

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    REPTREPTYesReplace Base$94.02
    TRAYMINTIncrease By$13.14
    LVPLVP75YesReduce Base To75%

    Governing Rules: