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Minnesota 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
$1,737.80 / $1,737.80 / $1,737.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $11,748.98 / $26,915.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $6,760.83 / $15,848.93
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$338.84 / $338.84 / $338.84
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $6,456.54 / $12,589.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $2,818.38 / $5,495.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $3,311.31 / $8,511.38