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Texas rates for HCPCS 43621

Gstrct Tot W/Roux-En-Y Rcnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$945.00 / $3,570.00 / $10,893.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,242.10 / $3,805.15 / $11,510.58
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,045.37 / $2,045.37 / $2,127.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,277.00 / $4,619.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $20,424.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,091.04 / $2,559.54 / $4,608.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,105.60 / $2,583.12 / $5,160.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $1,970.00 / $8,583.00