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Virginia rates for HCPCS 43621

Gstrct Tot W/Roux-En-Y Rcnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,572.38 / $5,048.00 / $9,539.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,385.00 / $10,311.04 / $14,433.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $610.00 / $2,589.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,087.62 / $2,578.82 / $3,702.59
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,186.52 / $2,890.02 / $4,202.34
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,045.24 / $2,727.28 / $4,887.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.00 / $2,397.00 / $5,202.00