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Nationwide rates for HCPCS 43631

Gastrectomy, partial, distal; with gastroduodenostomy

Facilitymedian $4,786 · 10th–90th $1,445–$14,1250%5%10th90th$4,786Professionalmedian $1,905 · 10th–90th $1,230–$4,5710%10%20%10th90th$1,905$1.0$10.0$100.0$1.0K$10.0K$100.0K

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
$1,445.44 / $4,570.88 / $11,481.54
Aetna
Facility/Professional
Facility
Modifier
80
Typical Low / Median / Typical High
$338.84 / $338.84 / $338.84
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,388.44 / $9,332.54 / $17,782.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $2,454.71 / $10,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $2,818.38 / $9,332.54

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