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Ohio rates for HCPCS 43633

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,916.83 / $6,396.88 / $11,627.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,785.00 / $8,239.18 / $15,310.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,834.41 / $2,201.29 / $2,724.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $1,200.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.00 / $600.00 / $2,193.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.00 / $2,883.00 / $6,111.00