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Washington 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
$2,570.40 / $7,244.36 / $24,547.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $707.95 / $954.99
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $3,162.28 / $4,365.16
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $3,311.31 / $3,467.37
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $2,398.83 / $6,918.31
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,125.38 / $24,547.09 / $24,547.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $7,413.10 / $12,022.64