go back

West 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
$1,965.62 / $63,733.21 / $88,751.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,848.27 / $2,111.69 / $2,300.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,980.11 / $1,980.11 / $1,980.11
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$194.20 / $194.20 / $194.20
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,176.93 / $43,295.03 / $53,566.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,439.00 / $4,439.00 / $4,439.00