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Pennsylvania rates for HCPCS 43846

Gastric restrictive procedure, with gastric bypass for morbid obesity; with short limb (150 cm or less) Roux-en-Y gastroenterostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $6,165.95 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,778.28 / $4,073.80
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,417.38 / $21,379.62 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,511.89 / $2,511.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $794.33 / $2,818.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,862.09 / $3,467.37
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $3,548.13 / $3,548.13
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $2,290.87 / $3,162.28
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,698.24 / $2,754.23
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $46,773.51 / $46,773.51
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $4,786.30 / $8,709.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,137.96 / $4,786.30
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $1,737.80 / $3,311.31
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,691.53 / $3,467.37
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $1,698.24 / $1,698.24
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,659.59 / $1,698.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $2,089.30 / $6,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,778.28 / $2,884.03