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Virginia rates for HCPCS 43631

Gastrectomy, partial, distal; with gastroduodenostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,641.04 / $4,796.00 / $9,539.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,385.00 / $10,311.04 / $14,433.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $610.00 / $1,651.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,339.53 / $1,654.72 / $2,370.37
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,452.61 / $1,867.93 / $2,773.36
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$316.80 / $356.47 / $576.88
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,425.28 / $1,762.04 / $3,203.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.00 / $2,397.00 / $5,202.00