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Washington, DC 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
$1,995.26 / $4,897.79 / $37,153.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $1,778.28 / $3,890.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $7,413.10 / $41,686.94