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Idaho rates for HCPCS 43631

Gastrectomy, partial, distal; with gastroduodenostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $5,495.41 / $5,495.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $5,495.41 / $6,606.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $2,137.96 / $4,168.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $15,488.17 / $26,302.68