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New Jersey rates for HCPCS 43621

Gastrectomy, total; with Roux-en-Y reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $6,918.31 / $11,748.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $3,890.45 / $3,890.45
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $223.87 / $251.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $5,248.07 / $10,471.29