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Minnesota rates for HCPCS 43621

Gstrct Tot W/Roux-En-Y Rcnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,021.14 / $2,021.14 / $2,021.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,425.97 / $2,992.74 / $17,057.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,706.60 / $7,345.78 / $17,671.25
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,078.68 / $6,703.50 / $13,914.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.58 / $3,415.73 / $6,321.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$796.00 / $3,500.00 / $8,152.00