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South Carolina 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
$2,630.27 / $22,387.21 / $43,651.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $575.44 / $2,951.21
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$3,548.13 / $3,548.13 / $3,548.13
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$295.12 / $295.12 / $295.12
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,344.23 / $2,754.23
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $2,344.23 / $3,715.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $16,595.87 / $23,442.29