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Kentucky 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
$1,649.07 / $1,756.14 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,569.32 / $1,705.95 / $2,106.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,049.25 / $9,122.94 / $15,243.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.71 / $1,439.22 / $2,332.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,615.96 / $2,217.98 / $2,558.60
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.62 / $2,217.98 / $3,168.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,948.55 / $1,948.55 / $1,948.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,553.88 / $2,118.29 / $3,289.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,742.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.00 / $2,513.00 / $27,879.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,531.64 / $2,101.80 / $3,334.90