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Massachusetts 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
$1,659.59 / $3,630.78 / $27,542.29
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $6,025.60 / $23,442.29
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$2,344.23 / $2,344.23 / $2,344.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $676.08 / $741.31
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $2,570.40 / $8,511.38
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $5,888.44 / $27,542.29
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $4,570.88 / $4,570.88
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $6,025.60 / $23,442.29
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$2,344.23 / $2,344.23 / $2,344.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $6,165.95 / $21,379.62