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Indiana 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
$1,728.22 / $1,912.07 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,662.34 / $1,809.26 / $2,435.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,600.00 / $11,226.46 / $15,429.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,431.04 / $1,788.80 / $2,468.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,593.39 / $2,071.41 / $2,390.09
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,593.39 / $1,832.40 / $2,390.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.00 / $761.00 / $2,060.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,644.90 / $2,159.85 / $3,584.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.00 / $5,076.00 / $12,027.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,578.49 / $1,954.60 / $3,466.97