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Pennsylvania 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
$1,412.54 / $7,244.36 / $17,378.01
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,417.38 / $21,379.62 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $794.33 / $3,162.28
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $3,890.45 / $3,890.45
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,232.93 / $14,791.08 / $28,840.32
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $5,370.32 / $13,182.57
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $2,344.23 / $3,715.35
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $1,819.70 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $4,786.30 / $7,943.28