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Texas 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
$945.00 / $3,570.00 / $10,893.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,569.32 / $1,751.97 / $2,595.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,709.81 / $2,831.87 / $7,320.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,531.74 / $1,980.45 / $2,767.74
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,551.53 / $1,551.53 / $1,614.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,024.00 / $4,619.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,627.16 / $2,235.91 / $3,498.46
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $15,364.64
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,031.92 / $12,311.52 / $14,724.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,622.36 / $2,027.95 / $3,482.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,914.60 / $2,547.25 / $2,996.77
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $1,994.40 / $4,288.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,622.36 / $2,036.99 / $3,886.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,689.00 / $2,374.67 / $4,252.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $1,970.00 / $8,583.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,393.36 / $1,891.67 / $2,945.78
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,420.92 / $1,650.84 / $2,226.48