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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
$1,346.00 / $5,946.00 / $18,600.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,301.33 / $17,825.49 / $28,268.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,321.00 / $2,321.00 / $8,274.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,699.67 / $2,410.10 / $9,200.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$792.48 / $792.48 / $792.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,153.31 / $8,414.00 / $14,587.03