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Colorado rates for HCPCS 43634

Gastrectomy, partial, distal; with formation of intestinal pouch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,506.00 / $3,189.00 / $10,651.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,879.22 / $2,115.19 / $3,128.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,586.00 / $7,613.00 / $13,400.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,117.44 / $2,879.70 / $4,256.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.00 / $2,151.00 / $2,530.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,998.00 / $2,858.97 / $4,218.97
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,053.59 / $2,686.95 / $3,593.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,464.31 / $3,080.39 / $4,312.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,115.00 / $5,540.00 / $12,740.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,190.31 / $3,277.22 / $5,302.49