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New York 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
$1,819.00 / $5,845.00 / $24,118.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,818.00 / $11,549.00 / $48,679.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,444.16 / $2,444.16 / $37,499.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,980.11 / $27,393.00 / $36,587.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$194.20 / $194.20 / $194.20
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $2,708.00 / $30,278.00
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,603.26 / $1,603.26 / $1,603.26
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,807.75 / $9,696.87 / $17,714.08
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,765.00 / $14,057.00 / $36,587.00
MVP Health Care
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$194.20 / $194.20 / $194.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,337.00 / $9,202.00 / $38,471.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,051.11 / $2,051.11 / $5,869.76