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Washington, DC rates for HCPCS 43621

Gastrectomy, total; with Roux-en-Y reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.00 / $2,080.00 / $7,727.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,333.21 / $4,638.64 / $5,105.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.00 / $1,319.00 / $16,382.00