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Oklahoma 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
$1,445.44 / $6,165.95 / $6,606.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,715.19 / $16,595.87 / $26,915.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $2,344.23 / $8,317.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $2,511.89 / $9,772.37
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$794.33 / $794.33 / $794.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $7,244.36 / $14,125.38