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Hawaii 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
$2,747.00 / $2,747.00 / $2,747.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,495.19 / $1,631.07 / $2,011.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,687.96 / $2,040.70 / $4,247.76
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,196.81 / $2,468.17 / $2,838.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,730.51 / $1,959.07 / $2,285.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,446.00 / $2,446.00 / $2,446.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,547.51 / $2,040.70 / $2,814.32
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $1,586.42 / $2,572.98