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Connecticut 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
$4,090.00 / $7,629.00 / $30,218.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,807.00 / $9,987.00 / $21,953.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$998.00 / $998.00 / $998.00
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,608.60 / $3,091.56 / $3,254.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,354.00 / $9,642.00 / $17,777.00