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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)

Facilitymedian $10,715 · 10th–90th $2,570–$23,4420%10%10th90th$10,715$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $10,964.78 / $23,988.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $10,715.19 / $23,988.33
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,698.24 / $2,137.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $2,951.21 / $21,379.62
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$3,548.13 / $3,548.13 / $3,548.13
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$295.12 / $295.12 / $295.12
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $9,549.93 / $14,454.40
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$3,548.13 / $3,548.13 / $3,548.13
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$295.12 / $295.12 / $295.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $6,918.31 / $12,882.50