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Oregon 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
$2,511.89 / $4,168.69 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $1,905.46 / $4,570.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $2,951.21 / $4,365.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $3,235.94 / $3,981.07
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $2,454.71 / $4,168.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $3,019.95 / $4,168.69
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $3,235.94 / $3,467.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $2,344.23 / $3,890.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $3,311.31 / $4,570.88
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $8,709.64 / $8,709.64
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,630.78 / $4,570.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $7,585.78 / $31,622.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $3,311.31 / $4,786.30