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Minnesota rates for HCPCS 43633

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $1,698.24 / $1,698.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $3,388.44 / $15,488.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $6,606.93 / $15,848.93
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$3,981.07 / $3,981.07 / $3,981.07
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $6,309.57 / $12,302.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $2,570.40 / $5,248.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $3,311.31 / $8,511.38