go back

Arizona 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
$2,041.74 / $7,943.28 / $17,782.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $4,365.16 / $7,943.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,620.87 / $18,620.87 / $25,118.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $2,089.30 / $16,218.10
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$426.58 / $426.58 / $794.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $7,244.36 / $23,988.33