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Kentucky 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
$1,675.69 / $1,980.68 / $16,866.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,990.00 / $10,099.00 / $25,200.51
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,642.91 / $2,254.96 / $2,601.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,980.11 / $1,980.11 / $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
$847.00 / $2,600.00 / $19,776.00