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California rates for HCPCS 43621

Gstrct Tot W/Roux-En-Y Rcnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,230.46 / $10,321.00 / $22,788.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,873.70 / $9,771.00 / $21,405.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.90 / $100.00 / $7,344.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$633.00 / $766.00 / $5,431.00
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,105.35 / $1,672.74 / $3,133.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,059.69 / $2,686.84 / $5,254.39
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $20,424.32 / $20,877.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,060.86 / $2,717.06 / $3,776.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,055.00 / $4,820.00 / $20,279.00