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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
$1,736.79 / $9,035.49 / $46,350.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,151.00 / $2,151.00 / $2,151.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,169.59 / $14,234.38 / $72,318.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,924.00 / $21,000.00 / $21,000.00