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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
$5,656.50 / $10,900.00 / $14,552.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.95 / $10,341.16 / $14,477.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.95 / $10,341.16 / $14,477.62