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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
$1,426.00 / $5,868.00 / $13,245.62
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,296.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $2,151.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,152.75 / $4,152.75 / $4,152.75
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,236.10 / $14,663.60 / $28,525.54
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $5,342.00 / $9,534.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,994.50 / $1,994.50 / $1,994.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $2,151.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,730.48 / $1,805.34 / $1,805.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,822.00 / $4,563.00 / $9,904.00