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Michigan 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
$2,389.44 / $4,933.00 / $5,184.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,783.37 / $10,029.21 / $13,443.89
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,941.64 / $4,933.00 / $5,184.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,635.00 / $10,192.00 / $12,767.00