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Michigan rates for HCPCS 43633

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $4,897.79 / $4,897.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,884.03 / $2,884.03
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,897.79 / $5,888.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $3,548.13 / $6,025.60