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Michigan 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
$2,238.72 / $4,897.79 / $10,000.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $1,621.81 / $1,621.81
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $4,897.79 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $6,760.83 / $17,378.01