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Maryland 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
$15,488.17 / $15,488.17 / $15,488.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $602.56 / $3,388.44
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$338.84 / $338.84 / $338.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,089.30 / $2,951.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $416.87 / $1,230.27