go back

Missouri 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
$2,089.30 / $5,623.41 / $15,488.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $8,128.31 / $22,387.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $14,454.40 / $17,782.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $2,511.89 / $5,888.44
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$478.63 / $891.25 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $2,818.38 / $11,220.18