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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
$1,654.66 / $2,747.00 / $9,255.17
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.81 / $5,389.71 / $23,446.80
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$426.04 / $834.11 / $834.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $680.00 / $748.00
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $2,671.81 / $6,679.00
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,583.45 / $4,583.45 / $4,583.45
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,697.00 / $7,331.00 / $23,446.80
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$426.04 / $834.11 / $834.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,697.00 / $5,097.00 / $21,139.00