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Idaho 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
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,670.37 / $2,305.32 / $4,899.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,708.88 / $2,607.09 / $3,195.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,727.85 / $2,950.81 / $5,193.62
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,747.04 / $2,913.52 / $3,329.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $2,311.75 / $2,908.33
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,902.88 / $3,394.91 / $3,452.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $15,298.00 / $26,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,801.59 / $2,372.16 / $3,694.07