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Oklahoma 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
$1,380.38 / $3,890.45 / $6,606.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $8,511.38 / $14,125.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $8,317.64 / $8,317.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $2,344.23 / $5,370.32
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$891.25 / $891.25 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $1,949.84 / $6,165.95