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Iowa 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
$3,162.28 / $5,370.32 / $7,943.28
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $3,311.31 / $10,715.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $3,467.37 / $5,495.41
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$891.25 / $891.25 / $891.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $4,365.16 / $5,248.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $4,897.79 / $7,413.10