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Kansas rates for HCPCS 43633

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $5,623.41 / $10,471.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $2,290.87 / $3,548.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,230.27 / $5,623.41