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California 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
$4,897.79 / $12,589.25 / $26,915.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $2,238.72 / $18,197.01
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $85.11 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $6,918.31 / $13,489.63
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,737.80 / $2,344.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,778.28 / $3,890.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$208.93 / $263.03 / $501.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$208.93 / $208.93 / $263.03
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $8,511.38 / $23,442.29
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$2,344.23 / $2,344.23 / $2,344.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $2,187.76 / $3,630.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $12,589.25 / $28,840.32