go back

Kansas 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
$2,884.03 / $6,918.31 / $15,135.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $2,454.71 / $8,511.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $6,165.95 / $10,715.19