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Virginia 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
$2,096.19 / $7,649.34 / $18,054.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,531.00 / $17,046.58 / $23,861.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $610.00 / $2,104.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,706.79 / $2,108.39 / $3,023.72
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.63 / $2,425.67 / $3,535.55
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,814.96 / $2,289.30 / $4,291.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,020.00 / $12,407.00 / $26,244.00