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Nationwide rates for HCPCS 43644

Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,018.63 / $6,577.71 / $22,690.97
Aetna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$20,597.79 / $20,597.79 / $20,597.79
Aetna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,736.52 / $1,736.52 / $1,736.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,152.50 / $12,802.33 / $25,361.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.00 / $1,200.00 / $2,151.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$194.20 / $194.20 / $194.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,153.31 / $6,865.50 / $16,475.00