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Georgia 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 $4,677 · 10th–90th $1,148–$19,0550%5%10%10th90th$4,677Professionalmedian $2,455 · 10th–90th $1,905–$7,2440%10%20%10th90th$2,455$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
$3,019.95 / $5,623.41 / $9,549.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $3,801.89 / $20,417.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $758.58 / $9,332.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,454.71 / $7,244.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
AS
Typical Low / Median / Typical High
$72.44 / $72.44 / $93.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $2,454.71 / $7,585.78