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Indiana rates for HCPCS 43645

Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit absorption

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,764.84 / $1,957.44 / $4,846.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,531.00 / $18,682.34 / $27,646.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,631.20 / $2,120.56 / $2,446.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.00 / $761.00 / $2,104.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,300.00 / $11,955.00 / $17,649.00