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Kansas rates for HCPCS 43622

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,131.00 / $7,655.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,417.41 / $2,485.83 / $3,782.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,657.81 / $3,126.84 / $3,126.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$914.00 / $914.00 / $914.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,156.48 / $3,055.77 / $4,661.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,087.00 / $2,809.35 / $4,275.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,315.27 / $2,983.45 / $16,589.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.00 / $1,743.00 / $5,562.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,246.94 / $2,837.33 / $4,752.39