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Virginia 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
$2,290.87 / $4,365.16 / $14,791.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $11,220.18 / $15,848.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $524.81 / $616.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,089.30 / $3,467.37
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $3,019.95 / $4,466.84
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $2,511.89 / $3,890.45
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $2,290.87 / $4,570.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $3,019.95 / $7,079.46