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North Carolina 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
$2,570.40 / $8,709.64 / $21,877.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $575.44 / $35,481.34
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
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $2,754.23 / $2,754.23
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $2,137.96 / $3,467.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $8,709.64 / $19,952.62
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $23,442.29 / $23,442.29
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$2,344.23 / $2,344.23 / $2,344.23