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Texas rates for HCPCS 43632

Gastrectomy, partial, distal; with gastrojejunostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.00 / $3,596.00 / $12,040.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,001.44 / $3,364.12 / $12,213.89
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,834.18 / $1,834.18 / $1,907.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,277.00 / $4,619.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$227.05 / $227.05 / $227.05
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $18,288.64
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$448.82 / $927.06 / $973.87
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.06 / $2,196.07 / $4,122.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,688.69 / $2,196.62 / $4,620.34
Providence
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$777.56 / $777.56 / $777.56
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$227.05 / $660.93 / $660.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $1,970.00 / $8,583.00