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Weight-Loss Surgery With Duodenal Switch

Maine rates for HCPCS 43845

A weight-loss operation that both shrinks the stomach and shortens the path food takes through the intestine. Part of the stomach is removed to leave a narrow tube, then the small intestine is divided and rerouted so food and digestive juices only mix along a short final stretch, which limits how many calories are absorbed. The valve at the stomach outlet is kept intact.

Rates data updated July 2026.

How much rates vary

Facilitymedian $13,183 · 10th to 90th $11,749 to $17,783
$1K$2K$5K$10K$20Kfacility $13,183

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$13,489.63
Typical High
$18,197.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83