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North Carolina 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
$1,809.04 / $6,149.92 / $18,744.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $518.28 / $35,600.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,809.04 / $2,313.59 / $3,257.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,717.00 / $2,500.00 / $18,665.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,800.00 / $20,718.24 / $24,992.88