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Delaware 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
$1,659.59 / $9,549.93 / $46,773.51
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $18,620.87 / $36,307.81
Highmark BCBS
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$47,863.01 / $47,863.01 / $47,863.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $20,892.96