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Virginia rates for HCPCS 43622

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

Facilitymedian $3,467 · 10th–90th $2,188$12,0230%10%10th90th$3,467Professionalmedian $2,630 · 10th–90th $2,042$4,2660%10%20%10th90th$2,630$500.0$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
$2,691.53 / $3,981.07 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,511.89 / $3,801.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,760.83 / $11,220.18 / $15,135.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $2,951.21 / $4,570.88
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,511.89 / $4,466.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $524.81 / $3,981.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $2,630.27 / $4,365.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $2,454.71 / $3,981.07
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $2,691.53 / $3,890.45
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,951.21 / $4,570.88
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $1,995.26 / $3,981.07
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,630.27 / $5,128.61
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,630.27 / $5,128.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $3,162.28 / $5,754.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $2,570.40 / $4,365.16