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Wisconsin rates for HCPCS 43860

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

Facilitymedian $7,586 · 10th–90th $2,138–$14,4540%10%10th90th$7,586Professionalmedian $3,548 · 10th–90th $1,950–$5,7540%10%10th90th$3,548$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,737.80 / $3,235.94 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,317.64 / $13,803.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,981.07 / $4,677.35 / $7,413.10
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $2,137.96 / $9,332.54
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $2,187.76 / $7,585.78
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $2,290.87 / $3,162.28
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,949.84 / $3,548.13 / $5,495.41
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $14,791.08 / $14,791.08
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,754.40 / $5,754.40 / $5,754.40
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $6,760.83 / $19,498.45