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Nationwide rates for HCPCS 43845

Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 to 100 cm common channel) to limit absorption (biliopancreatic diversion with duodenal switch)

Facilitymedian $6,026 · 10th–90th $1,862$18,6210%5%10th90th$6,026Professionalmedian $2,692 · 10th–90th $1,698$10,7150%10%20%10th90th$2,692$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
$1,862.09 / $5,623.41 / $18,620.87
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,981.07 / $11,220.18 / $20,417.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $5,370.32 / $32,359.37
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$338.84 / $338.84 / $338.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $2,884.03 / $10,471.29