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Alaska rates for HCPCS 43621

Gastrectomy, total; with Roux-en-Y reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $12,022.64 / $16,595.87
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $3,235.94 / $8,912.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $3,311.31 / $8,912.51