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Arizona rates for HCPCS 43865

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,519.44 / $1,705.95 / $2,563.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,660.00 / $6,198.03 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,736.01 / $1,984.01 / $2,306.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,471.01 / $1,924.82 / $3,711.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,569.32 / $1,892.90 / $3,886.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,482.60 / $1,915.90 / $12,311.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.00 / $2,572.00 / $14,572.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,446.70 / $1,801.59 / $3,303.72