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New York 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
$1,821.00 / $5,699.00 / $22,858.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,818.00 / $8,880.00 / $29,756.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,588.32 / $2,588.32 / $37,499.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,104.98 / $27,393.00 / $36,587.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $2,925.00 / $30,278.00
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,709.19 / $1,709.19 / $1,709.19
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,765.00 / $14,057.00 / $36,587.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.00 / $9,136.00 / $40,496.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,180.54 / $2,180.54 / $5,911.12