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Alabama rates for HCPCS 43622

Gastrectomy, total; with formation of intestinal pouch, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.00 / $1,728.00 / $4,681.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,055.62 / $2,715.26 / $4,681.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,428.03 / $6,587.17 / $8,861.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,154.96 / $3,099.60 / $3,542.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,052.15 / $2,954.00 / $8,133.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.00 / $1,754.00 / $4,083.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,779.10 / $2,364.02 / $3,899.41