go back

Minnesota rates for HCPCS 43622

Gastrectomy, total; with formation of intestinal pouch, any type

Facilitymedian $4,898 · 10th–90th $1,698–$14,7910%5%10th90th$4,898Professionalmedian $4,786 · 10th–90th $2,239–$8,3180%10%10th90th$4,786$50.0$200.0$1.0K$5.0K$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
$2,041.74 / $2,041.74 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,398.83 / $3,801.89
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $3,235.94 / $18,620.87
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,630.78 / $5,888.44 / $8,317.64
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $7,762.47 / $18,620.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,548.13 / $6,025.60 / $9,332.54
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $7,585.78 / $14,791.08
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,715.35 / $5,370.32 / $8,511.38
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $3,162.28 / $6,456.54
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $4,365.16 / $16,595.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $3,311.31 / $8,511.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $4,073.80 / $7,762.47