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Texas 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
$1,819.70 / $6,025.60 / $13,803.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,951.21 / $14,454.40
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $1,258.93 / $3,981.07
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $1,584.89 / $1,737.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $9,772.37 / $25,703.96
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $8,511.38 / $23,442.29
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$2,344.23 / $2,344.23 / $2,344.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $2,290.87 / $5,370.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $2,187.76 / $3,890.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,570.40 / $8,128.31 / $21,877.62