The Average Costs Of Lap-Band Weight Loss Surgery

The costs of Lap-Band surgery has decreased substantially over the last two years. In the United States, the prices is approximately $12,000 to $25,000. This amount usually includes :

The Average Costs Of Lap-Band Weight Loss Surgery
  • Pre-op Tests : $1,000
  • Lap-Band Package Fee : $4,000 - $8,500
  • Anesthesia Fees And The Surgeon's Fee
  • The Hospital Facility Fee
  • Follow-up Appointments And Adjustments : $35 - $300

Follow-up care and band adjustments are an important part of the LAP-BAND® procedure. There are usually several follow-up appointments the first year and then once a year after the first year in order to monitor weight loss and adjust the band as needed.

The costs of Lap-Band surgery is expensive. The good news is that increasingly insurance providers are footing the bill for all or part of it if your doctor establishes medical necessity and if you meet the National Institutes of Health insurance requirements. Based on market research, over 80% of Lap-Band weight loss surgery were reimbursed in full or in part by insurance. However, various insurance companies have different criteria, there are 2 steps to get reimburse by insurance :

2 Steps To Get Reimburse By Insurance

Step 1 : Call To Insurance Company To Know That Is Weight Loss Surgery A Covered Benefit

The Lap-Band surgery code of Insurance companies is 43770, you can ask the insurance company that is the 43770 approved?
If the Lap-Band surgery is not covered, you may need an attorney to prove the medical necessity of the procedure.
If the Lap-Band surgery is covered, proceed to next step 2.

Step 2 : Provide The Documentations To The Insurance Company

  • A referral letter from your primary care doctor that establishes a medical necessity for weight loss surgery.
  • Your weight and your BMI.
  • Patient history of obesity of five years or more.
  • List of your medical problems associated with obesity.
  • Records of medically supervised dieting.
  • Documentation of your weight loss history for the past several years.
    Such as the records and receipts for weight loss diet program; the receipts for the exercise equipment, gym memberships; weight loss medications and prescriptions. In short, you must prove that you had already made serious attempts to lose weight, but it is failed.
  • Psychological exam
    You need have a evaluation to establish your psychological condition is stable by your doctor.

Generally, the insurance company will take anywhere from 4 to 6 weeks to respond to this request. If you are approved, congratulation! You can proceed to the preparation stage of lap band surgery. If you are denied, you do have the opportunity to appeal their decision which could take a lot of time.