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North Carolina rates for HCPCS 43632

Gastrectomy, partial, distal; with gastrojejunostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,615.00 / $1,998.54 / $6,953.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $518.28 / $35,600.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$227.05 / $227.05 / $227.05
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,851.99 / $2,340.09 / $3,591.65
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$375.80 / $468.02 / $738.87
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$263.06 / $322.86 / $502.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.00 / $661.00 / $4,877.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $15,155.20 / $18,288.64
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$448.82 / $973.87 / $973.87