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Alabama rates for HCPCS 43634

Gstrct Prtl Dstl W/Frmj Intstinal Pouch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.00 / $1,728.00 / $4,304.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,890.44 / $2,497.48 / $4,304.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,428.03 / $6,587.17 / $8,861.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,976.84 / $2,843.40 / $3,249.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,830.56 / $2,705.96 / $7,439.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.00 / $1,754.00 / $4,083.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,478.77 / $2,173.58 / $3,682.06