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New Jersey 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
$1,513.40 / $6,550.04 / $33,568.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,079.00 / $50,431.00 / $67,941.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,321.00 / $8,870.00 / $18,283.00