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Kentucky rates for HCPCS 43622

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,149.23 / $2,353.55 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,115.42 / $2,300.54 / $2,846.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,049.25 / $9,122.94 / $15,243.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,549.28 / $1,877.36 / $3,070.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,182.38 / $2,995.43 / $3,455.44
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,091.44 / $2,995.43 / $4,279.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,631.54 / $2,631.54 / $2,631.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,006.69 / $2,778.80 / $4,423.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,353.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.00 / $2,513.00 / $27,879.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,033.50 / $2,752.98 / $4,517.18