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Michigan 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
$2,511.89 / $4,897.79 / $4,897.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $2,951.21 / $2,951.21
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $4,897.79 / $6,025.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $3,548.13 / $6,025.60