go back

Maryland 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
$1,949.84 / $6,456.54 / $10,715.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $602.56 / $2,951.21
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$3,548.13 / $3,548.13 / $3,548.13
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$295.12 / $295.12 / $295.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,862.09 / $2,630.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $2,238.72 / $6,165.95