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Michigan 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
$2,213.17 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,519.44 / $1,860.61 / $2,213.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,221.90 / $9,199.09 / $12,331.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.52 / $1,682.04 / $2,742.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,505.96 / $2,100.42 / $4,057.40
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,786.72 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,718.68 / $1,885.28 / $2,714.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.07 / $1,330.41 / $2,093.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.00 / $4,645.00 / $6,036.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,750.65 / $2,286.66 / $2,960.14