My doctor charges $250 for a fill. They are covered by insurance and the surgeon is a participating provider so has to accept what insurance pays. My copay is $15 and BC/BS pays $137 of the $250. I've had two fills and have restriction after the second. I have an AP Standard band (10 cc) with 3 ccs filled. My doctor doesn't use the lidocaine just the fill needle. I am terribly afraid of needles, but it doesn't hurt even though it is a large needle. I haven't had any issues with the fills.