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Virginia 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
$2,041.74 / $7,079.46 / $21,877.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $18,620.87 / $25,703.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $524.81 / $616.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,862.09 / $3,090.30
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,344.23 / $3,981.07
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $2,290.87 / $3,548.13
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $2,089.30 / $6,456.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $11,748.98 / $26,302.68