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New Hampshire 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
$100.00 / $5,955.63 / $35,484.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,512.20 / $16,774.39 / $28,708.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,111.00 / $4,660.00 / $12,399.00