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Washington, DC rates for HCPCS 43634

Gastrectomy, partial, distal; with formation of intestinal pouch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $2,454.71 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,290.87 / $3,467.37
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,290.87 / $3,019.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,238.72 / $5,888.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,137.96 / $4,786.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $2,290.87 / $6,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $2,187.76 / $5,128.61