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North Carolina rates for HCPCS 43633

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,889.54 / $7,968.00 / $15,013.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $518.28 / $35,600.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,620.00 / $2,225.16 / $3,393.27
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$324.00 / $458.84 / $698.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.00 / $661.00 / $4,877.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $14,331.04 / $17,302.16