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New Hampshire rates for HCPCS 43865

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

Facilitymedian $6,310 · 10th–90th $2,399$16,2180%10%10th90th$6,310Professionalmedian $2,188 · 10th–90th $1,622$4,1690%10%20%10th90th$2,188$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $5,888.44 / $9,772.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $1,778.28 / $3,467.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $10,964.78 / $16,982.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,584.89 / $3,388.44 / $4,897.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $2,511.89 / $4,365.16
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $3,388.44 / $7,413.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $2,630.27 / $4,168.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $3,388.44 / $7,413.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $2,691.53 / $5,011.87
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $645.65 / $1,995.26