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Minnesota rates for HCPCS 43847

Gastric Rstcv W/Byp W/Sm Int Rcnstj Limit Absrpj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,616.60 / $1,616.60 / $1,616.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,596.13 / $1,765.31 / $2,945.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,642.72 / $9,407.18 / $15,688.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,094.12 / $5,246.20 / $6,362.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,763.75 / $5,874.23 / $14,131.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,994.01 / $4,932.22 / $7,330.73
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,261.62 / $5,360.62 / $11,126.98
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,964.37 / $4,378.45 / $6,722.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,717.66 / $2,923.03 / $5,035.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,035.15 / $4,091.86 / $13,253.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$796.00 / $3,500.00 / $8,152.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,940.93 / $3,810.07 / $6,984.93