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Pennsylvania rates for HCPCS 43631

Gastrectomy, partial, distal; with gastroduodenostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $5,754.40 / $8,511.38
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,417.38 / $21,379.62 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $794.33 / $2,454.71
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,090.30 / $3,090.30
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $4,265.80 / $8,317.64
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,621.81 / $2,951.21
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,412.54 / $1,412.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $2,089.30 / $6,309.57