go back

North Carolina 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
$1,905.46 / $3,162.28 / $18,197.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $575.44 / $35,481.34
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$338.84 / $338.84 / $338.84
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $3,019.95 / $3,019.95
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,398.83 / $3,715.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $1,819.70 / $6,309.57
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $26,302.68 / $26,302.68
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$2,630.27 / $2,630.27 / $2,630.27