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Florida rates for HCPCS 43634

Gastrectomy, partial, distal; with formation of intestinal pouch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.00 / $4,790.00 / $11,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,769.57 / $2,115.19 / $3,128.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $500.00 / $6,546.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,677.93 / $2,718.39 / $4,166.87
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,624.00 / $21,162.00 / $32,051.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.70 / $1,737.49 / $2,606.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.56 / $1,790.21 / $2,826.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.00 / $4,414.00 / $9,150.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,598.79 / $2,233.61 / $4,051.76
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,630.50 / $1,630.50 / $1,630.50