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Georgia rates for HCPCS 43622

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $5,370.32 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,570.40 / $4,466.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $3,162.28 / $6,760.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $3,630.78 / $5,623.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $2,187.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $588.84 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $3,090.30 / $5,248.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,884.03 / $5,370.32
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $4,365.16 / $5,754.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $2,511.89 / $7,079.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,754.23 / $4,897.79