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Wisconsin rates for HCPCS 43645

Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit absorption

Facilitymedian $11,749 · 10th–90th $3,020–$20,4170%10%10th90th$11,749Professionalmedian $4,074 · 10th–90th $2,239–$6,4570%10%20%10th90th$4,074$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $3,630.78 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,120.11 / $12,882.50 / $22,908.68
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,570.88 / $5,248.07 / $8,511.38
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $2,754.23 / $8,912.51
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $3,019.95 / $14,125.38
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $10,715.19 / $17,378.01
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $4,073.80 / $6,309.57
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $25,118.86 / $25,118.86
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,456.54 / $6,456.54 / $6,456.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,943.28 / $13,489.63 / $16,595.87