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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
$5,010.05 / $11,709.00 / $44,074.72
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,732.31 / $9,159.35 / $12,823.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,732.31 / $9,159.35 / $12,823.09