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Maine rates for HCPCS 43633

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

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $13,489.63 / $18,197.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $3,311.31
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$3,981.07 / $3,981.07 / $3,981.07