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Hawaii rates for HCPCS 43847

Gastric restrictive procedure, with gastric bypass for morbid obesity; with small intestine reconstruction to limit absorption

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,747.00 / $2,747.00 / $2,747.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,556.81 / $1,712.34 / $2,128.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,781.50 / $2,167.15 / $4,486.80
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,330.34 / $2,618.21 / $3,010.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,837.74 / $2,080.46 / $2,427.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,446.00 / $2,446.00 / $2,446.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,719.31 / $2,167.15 / $3,012.73
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $1,635.27 / $2,627.78