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Virginia rates for HCPCS 43633

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,175.78 / $5,048.00 / $9,539.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,385.00 / $10,311.04 / $14,433.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $610.00 / $2,193.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,769.84 / $2,186.28 / $3,137.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,817.34 / $2,373.58 / $3,554.43
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$324.00 / $469.64 / $764.83
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,630.68 / $2,303.10 / $4,204.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.00 / $2,397.00 / $5,202.00