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Oregon rates for HCPCS 43621

Gastrectomy, total; with Roux-en-Y reconstruction

Facilitymedian $3,981 · 10th–90th $2,291–$5,3700%20%10th90th$3,981Professionalmedian $4,266 · 10th–90th $3,311–$5,2480%50%10th90th$4,266$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $5,495.41 / $7,943.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,659.59 / $1,659.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,311.31 / $4,265.80 / $5,248.07
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $3,019.95 / $5,128.61
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $4,365.16 / $4,466.84
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $3,019.95 / $5,128.61
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $11,748.98 / $11,748.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $8,511.38 / $31,622.78