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Arizona rates for HCPCS 43621

Gastrectomy, total; with Roux-en-Y reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $3,890.45 / $7,943.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $4,365.16 / $7,943.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $2,454.71 / $4,677.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $2,089.30 / $5,248.07