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Arkansas 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
$1,182.00 / $2,067.92 / $3,466.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.00 / $541.00 / $561.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $4,334.00 / $10,818.00