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Alaska rates for HCPCS 43634

Gastrectomy, partial, distal; with formation of intestinal pouch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,131.34 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,091.17 / $2,311.35 / $11,209.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,050.02 / $3,192.02 / $7,158.07
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,119.92 / $11,209.28 / $15,692.99
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,164.13 / $7,745.94 / $14,307.59
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,590.13 / $9,934.40 / $15,757.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,119.92 / $11,209.28 / $15,692.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,503.02 / $7,593.60 / $13,710.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,897.82 / $5,726.46 / $15,795.52