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Wisconsin rates for HCPCS 43644

Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less)

Facilitymedian $12,882 · 10th–90th $3,388–$25,1190%10%10th90th$12,882Professionalmedian $3,802 · 10th–90th $2,089–$6,0260%10%20%10th90th$3,802$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,388.44 / $20,417.38 / $38,018.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,332.54 / $12,882.50 / $23,442.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $5,011.87 / $7,943.28
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$3,548.13 / $3,548.13 / $3,548.13
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$295.12 / $295.12 / $295.12
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $2,691.53 / $8,912.51
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $2,818.38 / $14,125.38
Medica
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$794.33 / $794.33 / $794.33
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,388.44 / $10,715.19 / $17,378.01
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $3,801.89 / $5,888.44
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,951.21 / $23,442.29 / $23,442.29
Quartz
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$3,548.13 / $3,548.13 / $3,548.13
Quartz
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$295.12 / $426.58 / $2,344.23
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,025.60 / $6,025.60 / $6,025.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $13,489.63 / $16,595.87