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Florida 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
$1,806.78 / $12,740.00 / $40,098.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $10,302.00 / $39,498.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$194.20 / $194.20 / $194.20
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,460.00 / $21,065.00 / $32,051.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $11,800.00 / $18,694.00