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Ohio 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
$2,137.96 / $8,912.51 / $11,748.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $6,456.54 / $15,135.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $1,905.46 / $2,454.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $3,388.44 / $3,388.44
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$338.84 / $338.84 / $338.84
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $3,388.44 / $21,379.62
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$338.84 / $338.84 / $338.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $2,691.53 / $6,760.83