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Texas rates for HCPCS 43633

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$945.00 / $3,596.00 / $10,893.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,890.66 / $3,117.58 / $10,966.66
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,736.40 / $1,736.40 / $1,804.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $2,193.30 / $4,619.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $17,302.16
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,669.99 / $2,135.04 / $3,902.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,694.21 / $2,151.48 / $4,364.60
Providence
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$735.16 / $735.16 / $735.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.00 / $1,970.00 / $8,583.00