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Kentucky rates for HCPCS 43633

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $2,818.38 / $8,511.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,715.19 / $11,220.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $2,041.74 / $2,884.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $3,311.31 / $3,311.31
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$3,981.07 / $3,981.07 / $3,981.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $4,168.69 / $30,199.52