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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
$2,248.61 / $2,361.05 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,366.37 / $9,412.70 / $12,617.46
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,812.68 / $2,833.26 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,153.31 / $8,995.00 / $18,035.00