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Alaska 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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $12,022.64 / $16,595.87
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $2,818.38 / $7,585.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $3,019.95 / $7,585.78