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Iowa 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
$2,818.38 / $5,623.41 / $42,657.95
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,951.21 / $6,606.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $3,715.35 / $9,772.37
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$794.33 / $794.33 / $794.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $3,890.45 / $4,677.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $8,709.64 / $14,454.40