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Virginia rates for HCPCS 43621

Gastrectomy, total; with Roux-en-Y reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $3,981.07 / $9,549.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $11,220.18 / $15,848.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $524.81 / $616.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,398.83 / $3,981.07
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,570.40 / $3,715.35
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,884.03 / $4,466.84
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $2,630.27 / $5,248.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $3,019.95 / $6,309.57