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Arizona rates for HCPCS 43634

Gastrectomy, partial, distal; with formation of intestinal pouch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,879.22 / $2,141.60 / $3,352.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,660.00 / $6,198.03 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,153.29 / $2,460.90 / $2,860.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,749.46 / $2,373.09 / $4,617.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,688.54 / $2,220.96 / $4,371.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,793.95 / $2,359.41 / $15,268.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.00 / $2,572.00 / $14,572.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,763.96 / $2,235.23 / $4,154.33