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Delaware rates for HCPCS 43622

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,907.00 / $6,907.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,300.54 / $2,307.92 / $2,673.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,151.00 / $2,151.00 / $2,151.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,847.65 / $2,451.67 / $3,951.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.00 / $960.00 / $960.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,901.40 / $2,356.75 / $5,336.86