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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
$2,111.27 / $6,657.95 / $15,135.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.00 / $629.00 / $2,530.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$194.20 / $194.20 / $194.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,695.87 / $2,099.73 / $2,968.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,541.00 / $2,139.00 / $4,614.00