go back

Wyoming rates for HCPCS 43622

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.60 / $2,098.38 / $3,104.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,994.00 / $7,193.00 / $11,129.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,357.21 / $3,800.63 / $5,408.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,145.29 / $4,051.80 / $7,876.69