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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
$2,137.96 / $8,511.38 / $28,840.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $12,882.50 / $67,608.30
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $223.87 / $251.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $9,332.54 / $25,118.86