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Pennsylvania rates for HCPCS 43644

Laps Gstr Rstcv Px W/Byp Roux-En-Y Limb <150 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,851.64 / $9,760.54 / $24,713.53
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,296.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $2,151.00
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
$3,895.50 / $3,895.50 / $3,895.50
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,612.66 / $11,103.36 / $21,420.18
Highmark BCBS
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$13,737.75 / $13,737.75 / $26,837.21
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,569.00 / $7,448.75 / $22,271.12
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,660.00 / $2,660.00 / $2,660.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $2,151.00
Priority Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$194.20 / $194.20 / $194.20
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.74 / $1,698.74 / $1,708.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,899.00 / $4,557.00 / $8,261.00