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Oregon rates for HCPCS 43634

Gastrectomy, partial, distal; with formation of intestinal pouch

Facilitymedian $3,548 · 10th–90th $2,089–$5,0120%20%10th90th$3,548Professionalmedian $3,467 · 10th–90th $1,950–$5,6230%10%20%10th90th$3,467$20.0$100.0$500.0$2.0K$10.0K

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
$3,162.28 / $5,128.61 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,398.83 / $5,623.41
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,659.59 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,584.89 / $3,715.35 / $5,370.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,981.07 / $4,897.79
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $2,754.23 / $4,786.30
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $3,801.89 / $5,248.07
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $4,073.80 / $4,168.69
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,818.38 / $4,677.35
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $4,073.80 / $5,754.40
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,964.78 / $10,964.78 / $10,964.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $4,677.35 / $5,754.40
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $8,511.38 / $31,622.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $4,073.80 / $5,888.44