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Texas rates for HCPCS 43631

Gastrectomy, partial, distal; with gastroduodenostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,715.35 / $12,882.50
Aetna
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$338.84 / $338.84 / $338.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $2,511.89 / $8,128.31
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $1,445.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $2,454.71 / $2,511.89
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $13,182.57
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,819.70 / $3,388.44
Moda Health
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$338.84 / $338.84 / $338.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,819.70 / $3,090.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $2,290.87 / $10,000.00