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Michigan 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
$2,340.65 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,596.13 / $1,967.59 / $2,340.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,519.75 / $9,639.46 / $12,921.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.01 / $1,887.43 / $3,040.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,642.22 / $2,217.53 / $4,239.02
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,878.69 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,816.95 / $1,994.79 / $2,865.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.07 / $1,392.91 / $2,218.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.00 / $4,645.00 / $6,036.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,859.68 / $2,412.06 / $3,260.48