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Idaho rates for HCPCS 43633

Gastrectomy, partial, distal; with Roux-en-Y reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $5,495.41 / $5,495.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $7,244.36 / $8,128.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $2,818.38 / $5,495.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $15,488.17 / $26,302.68