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California 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
$4,786.30 / $11,481.54 / $25,703.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $13,182.57 / $20,417.38
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $85.11 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $776.25 / $9,772.37
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,137.96 / $2,630.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,995.26 / $4,168.69
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $26,302.68
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$2,630.27 / $2,630.27 / $2,630.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,398.83 / $3,981.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $5,495.41 / $17,378.01