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Ohio 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
$2,023.86 / $7,567.00 / $11,627.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,501.00 / $13,621.30 / $25,522.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,766.85 / $2,120.21 / $2,624.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $581.00 / $2,104.98
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $562.00 / $2,104.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $7,705.00 / $12,871.00