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Texas 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
$1,148.15 / $4,265.80 / $13,489.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $3,388.44 / $15,488.17
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $1,778.28 / $1,949.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $9,772.37 / $25,703.96
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$338.84 / $338.84 / $338.84
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $26,302.68
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$2,630.27 / $2,630.27 / $2,630.27
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,454.71 / $4,570.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $2,454.71 / $4,265.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $2,511.89 / $10,715.19