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Minnesota rates for HCPCS 43633

Gstrct Prtl Dstl W/Roux-En-Y Rcnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,714.53 / $1,714.53 / $1,714.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,425.97 / $2,992.74 / $14,425.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,994.87 / $6,234.95 / $14,999.02
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,461.90 / $5,689.80 / $11,810.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,766.01 / $2,928.82 / $5,355.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$796.00 / $3,500.00 / $8,152.00