Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Laps Gstr Rstcv Px W/Byp Roux-en-Y Limb <150 Cm
63 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.
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Filter by billing class
| # | |||||
|---|---|---|---|---|---|
| 1 | UnitedHealthcare case rate · outpatient · +27 other terms | 392 | $11,421 | $11,198 | $1.00 – $41,430 |
| 2 | Aetna case rate · outpatient · +27 other terms | 292 | $8,684 | $14,281 | $678.00 – $51,858 |
| 3 | Cigna case rate · outpatient · +25 other terms | 266 | $17,026 | $20,574 | $0.70 – $63,800 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +23 other terms | 198 | $7,628 | $17,294 | $0.29 – $61,416 |
| 5 | Humana case rate · outpatient · +23 other terms | 129 | $7,257 | $18,646 | $1,423 – $49,531 |
| 6 | Oscar case rate · outpatient · +17 other terms | 128 | $12,488 | $13,145 | $6,602 – $19,816 |
| 7 | Anthem fee schedule · outpatient · +21 other terms | 95 | $1,848 | $4,708 | $948.37 – $23,092 |
| 8 | Molina case rate · outpatient · +16 other terms | 88 | $2,533 | $4,226 | $264.00 – $20,231 |
| 9 | Healthcare Highways case rate · outpatient | 76 | $8,517 | $8,406 | $3,436 – $9,565 |
| 10 | WellCare facility · case rate · outpatient · +16 other terms | 45 | $12,594 | $10,244 | $1,522 – $18,989 |
| 11 | Kaiser fee schedule · outpatient · +17 other terms | 43 | $1,652 | $1,492 | $125.00 – $2,099 |
| 12 | Optum professional · fee schedule · outpatient · +14 other terms | 34 | $725.19 | $746.29 | $113.76 – $1,809 |
| 13 | Superior Healthplan case rate · outpatient · +1 other terms | 33 | $948.00 | $943.62 | $929.00 – $948.00 |
| 14 | Ambetter case rate · outpatient · +14 other terms | 32 | $9,492 | $9,874 | $0.23 – $39,269 |
| 15 | Bcbs Tx fee schedule · outpatient · +2 other terms | 31 | $2,792 | $2,878 | $1,412 – $7,514 |
| 16 | Regence professional · fee schedule · outpatient · +10 other terms | 30 | $817.22 | $912.92 | $113.76 – $4,302 |
| 17 | Devoted fee schedule · outpatient · +10 other terms | 27 | $1,652 | $1,641 | $1,531 – $1,686 |
| 18 | Medica case rate · outpatient · +12 other terms | 26 | $6,128 | $7,253 | $2,459 – $15,961 |
| 19 | Medicare fee schedule · outpatient · +14 other terms | 25 | $1,610 | $1,603 | $1,505 – $1,686 |
| 20 | Ucare professional · fee schedule · outpatient · +9 other terms | 23 | $666.76 | $601.94 | $89.20 – $1,269 |
| 21 | Tricare professional · fee schedule · outpatient · +13 other terms | 22 | $862.82 | $948.10 | $121.40 – $1,717 |
| 22 | Caresource facility · case rate · outpatient · +15 other terms | 21 | $4,295 | $5,229 | $1,530 – $21,512 |
| 23 | Bcbs La fee schedule · outpatient · +1 other terms | 20 | $9,894 | $9,536 | $3,398 – $13,333 |
| 24 | Highmark fee schedule · outpatient · +14 other terms | 20 | $1,954 | $2,014 | $935.85 – $7,174 |
| 25 | Amerihealth Caritas professional · fee schedule · outpatient · +10 other terms | 16 | $701.97 | $933.75 | $89.20 – $1,744 |
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