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Ohio 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
$2,268.04 / $9,809.31 / $25,400.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,501.00 / $13,621.30 / $25,522.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,656.63 / $1,987.96 / $2,460.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $1,200.00 / $21,571.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$194.20 / $194.20 / $194.20
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $1,980.11 / $18,603.77
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$194.20 / $194.20 / $194.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $6,811.00 / $13,009.00