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New York rates for HCPCS 43621

Gstrct Tot W/Roux-En-Y Rcnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.32 / $3,997.64 / $10,170.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,283.00 / $4,975.00 / $11,448.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,195.79 / $3,195.79 / $37,499.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,765.00 / $2,589.94 / $7,227.90
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $2,590.00 / $6,083.12
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,096.08 / $2,096.08 / $2,096.08
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $2,589.94 / $7,227.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$996.00 / $4,194.00 / $9,020.04
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,678.66 / $2,678.66 / $7,249.95