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Colorado rates for HCPCS 43622

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,506.00 / $3,149.00 / $10,651.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.60 / $2,297.57 / $3,399.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,586.00 / $7,613.00 / $13,400.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,300.79 / $3,129.05 / $4,624.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.00 / $2,151.00 / $2,631.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,204.12 / $3,105.73 / $4,587.89
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,230.65 / $2,929.40 / $3,903.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,676.78 / $3,345.98 / $4,684.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,115.00 / $5,540.00 / $12,740.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,434.44 / $3,363.99 / $5,671.10