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Nevada rates for HCPCS 43622

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,240.00 / $3,959.00 / $10,300.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,996.76 / $2,513.53 / $3,750.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,671.00 / $5,123.00 / $8,352.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,916.80 / $2,584.76 / $4,200.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,210.33 / $2,582.67 / $4,058.44
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.80 / $2,381.77 / $3,313.76
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.60 / $2,071.10 / $3,106.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.00 / $2,578.00 / $6,471.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,958.38 / $2,579.58 / $4,420.93