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Wisconsin rates for HCPCS 43633

Gastrectomy, partial, distal; with Roux-en-Y reconstruction

Facilitymedian $7,586 · 10th–90th $2,455–$14,4540%10%10th90th$7,586Professionalmedian $4,169 · 10th–90th $2,291–$6,7610%10%20%10th90th$4,169$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
$2,041.74 / $3,801.89 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,317.64 / $13,803.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $5,495.41 / $8,709.64
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$3,981.07 / $3,981.07 / $3,981.07
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $2,511.89 / $9,332.54
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $2,511.89 / $7,585.78
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $2,691.53 / $3,715.35
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $4,168.69 / $6,456.54
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $17,378.01 / $17,378.01
Quartz
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$3,981.07 / $3,981.07 / $3,981.07
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,760.83 / $6,760.83 / $6,760.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $6,760.83 / $19,498.45