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Pennsylvania rates for HCPCS 43860

Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; without vagotomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $6,165.95 / $11,220.18
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,417.38 / $21,379.62 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $794.33 / $2,818.38
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $3,467.37 / $3,467.37
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $3,890.45 / $4,897.79
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $4,786.30 / $8,709.64
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,621.81 / $3,311.31
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,479.11 / $1,584.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $2,089.30 / $6,606.93