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Indiana rates for HCPCS 43631

Gstrct Prtl Dstl W/Gastroduodenostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,385.74 / $1,538.20 / $4,846.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,600.00 / $11,226.46 / $15,429.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,307.47 / $1,666.38 / $1,922.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.00 / $761.00 / $1,651.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.00 / $5,076.00 / $10,396.00