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Rhode Island 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
$3,550.56 / $3,706.14 / $3,955.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.00 / $680.00 / $680.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,458.00 / $5,742.00 / $9,968.00