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Wisconsin rates for HCPCS 43621

Gastrectomy, total; with Roux-en-Y reconstruction

Facilitymedian $7,586 · 10th–90th $2,818–$14,4540%10%10th90th$7,586Professionalmedian $4,898 · 10th–90th $2,692–$7,9430%10%10th90th$4,898$1.0K$2.0K$5.0K$10.0K$20.0K

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
$2,398.83 / $4,466.84 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,317.64 / $14,125.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $6,456.54 / $10,232.93
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,187.76 / $3,019.95 / $8,912.51
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,818.38 / $6,309.57
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $3,162.28 / $4,365.16
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $4,897.79 / $7,585.78
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $20,417.38 / $20,417.38
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7,943.28 / $7,943.28 / $7,943.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $6,760.83 / $19,498.45