# CPT 43644: Laparoscopic gastric bypass, Roux-en-Y

Medicare CPT 43644 pays $1,618.27 in a non-facility setting and $1,618.27 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,424.66 in Wisconsin to $2,008.86 in Alaska, a 41% spread.

Web page: https://www.med-reveal.com/rates/43644-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: General Surgery

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $1,618.27 |
| National facility | $1,618.27 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $2,008.86 | $2,008.86 |
| Florida | $1,861.20 | $1,861.20 |
| Illinois | $1,840.41 | $1,840.41 |
| New York | $1,802.30 | $1,802.30 |
| District of Columbia | $1,771.00 | $1,771.00 |
| New Jersey | $1,739.74 | $1,739.74 |
| Connecticut | $1,722.24 | $1,722.24 |
| Michigan | $1,697.53 | $1,697.53 |
| West Virginia | $1,675.14 | $1,675.14 |
| Maryland | $1,667.73 | $1,667.73 |
| Massachusetts | $1,655.71 | $1,655.71 |
| Washington | $1,651.36 | $1,651.36 |
| Georgia | $1,651.21 | $1,651.21 |
| Pennsylvania | $1,636.19 | $1,636.19 |
| New Mexico | $1,635.91 | $1,635.91 |
| Rhode Island | $1,622.29 | $1,622.29 |
| Puerto Rico | $1,618.91 | $1,618.91 |
| Virgin Islands | $1,618.91 | $1,618.91 |
| Montana | $1,617.76 | $1,617.76 |
| California | $1,610.11 | $1,610.11 |
| New Hampshire | $1,603.00 | $1,603.00 |
| Colorado | $1,599.83 | $1,599.83 |
| Texas | $1,599.10 | $1,599.10 |
| Louisiana | $1,594.99 | $1,594.99 |
| Delaware | $1,592.42 | $1,592.42 |
| Ohio | $1,585.04 | $1,585.04 |
| Missouri | $1,580.89 | $1,580.89 |
| Oregon | $1,577.07 | $1,577.07 |
| Nevada | $1,576.06 | $1,576.06 |
| Arizona | $1,568.96 | $1,568.96 |
| Utah | $1,567.92 | $1,567.92 |
| Hawaii | $1,566.39 | $1,566.39 |
| Wyoming | $1,551.93 | $1,551.93 |
| Kentucky | $1,551.57 | $1,551.57 |
| South Carolina | $1,549.18 | $1,549.18 |
| Virginia | $1,536.36 | $1,536.36 |
| Oklahoma | $1,517.98 | $1,517.98 |
| Maine | $1,504.92 | $1,504.92 |
| North Carolina | $1,498.98 | $1,498.98 |
| Mississippi | $1,495.31 | $1,495.31 |
| Vermont | $1,488.16 | $1,488.16 |
| North Dakota | $1,466.69 | $1,466.69 |
| Tennessee | $1,463.22 | $1,463.22 |
| Indiana | $1,457.51 | $1,457.51 |
| Alabama | $1,456.84 | $1,456.84 |
| Kansas | $1,452.78 | $1,452.78 |
| Idaho | $1,451.35 | $1,451.35 |
| Minnesota | $1,450.38 | $1,450.38 |
| South Dakota | $1,448.83 | $1,448.83 |
| Arkansas | $1,437.34 | $1,437.34 |
| Iowa | $1,429.93 | $1,429.93 |
| Nebraska | $1,428.33 | $1,428.33 |
| Wisconsin | $1,424.66 | $1,424.66 |

## Related codes

- 40490: Biopsy of lip — https://www.med-reveal.com/rates/40490-cpt-fee-schedule
- 40650: Repair lip, vermilion only — https://www.med-reveal.com/rates/40650-cpt-fee-schedule
- 41010: Frenotomy, lingual — https://www.med-reveal.com/rates/41010-cpt-fee-schedule
- 41112: Excision of lesion of tongue — https://www.med-reveal.com/rates/41112-cpt-fee-schedule
- 41599: Unlisted procedure, tongue/floor of mouth — https://www.med-reveal.com/rates/41599-cpt-fee-schedule
- 42700: Incision and drainage of peritonsillar abscess — https://www.med-reveal.com/rates/42700-cpt-fee-schedule
- 42820: Tonsillectomy and adenoidectomy, under age 12 — https://www.med-reveal.com/rates/42820-cpt-fee-schedule
- 42821: Tonsillectomy and adenoidectomy, age 12 or over — https://www.med-reveal.com/rates/42821-cpt-fee-schedule

Commercial negotiated rates for 43644 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules