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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
$1,300.00 / $3,742.00 / $18,600.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,858.92 / $9,241.20 / $14,654.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,274.00 / $8,274.00 / $8,274.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,531.39 / $2,405.69 / $5,833.89
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$895.72 / $895.72 / $895.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,760.00 / $6,155.68