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Indiana rates for HCPCS 43644

Laps Gstr Rstcv Px W/Byp Roux-En-Y Limb <150 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.45 / $7,954.00 / $37,613.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,531.00 / $18,682.34 / $27,646.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,530.27 / $1,989.35 / $2,295.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.00 / $761.00 / $1,980.11
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$194.20 / $194.20 / $194.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,300.00 / $10,860.00 / $17,649.00