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Alaska 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
$9,772.37 / $26,302.68 / $43,651.58
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $2,570.40 / $9,120.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $2,691.53 / $6,760.83