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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
$6,569.20 / $10,900.00 / $14,552.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,262.92 / $12,009.78 / $16,813.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,262.92 / $12,009.78 / $16,813.68