go back

Arkansas rates for HCPCS 43621

Gastrectomy, total; with Roux-en-Y reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $2,511.89 / $2,951.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $562.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $758.58 / $2,570.40