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Minnesota 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
$1,548.82 / $33,113.11 / $50,118.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $10,715.19 / $26,302.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $5,888.44 / $14,125.38
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
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $5,754.40 / $11,220.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $2,691.53 / $5,623.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $6,165.95 / $12,882.50