go back

Kansas rates for HCPCS 43634

Gastrectomy, partial, distal; with formation of intestinal pouch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,131.00 / $7,655.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,223.48 / $2,286.42 / $3,480.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,448.52 / $2,880.61 / $2,880.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$914.00 / $914.00 / $914.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,978.19 / $2,810.70 / $4,283.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,087.00 / $2,537.87 / $3,793.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,005.34 / $2,717.12 / $15,268.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.00 / $1,743.00 / $5,562.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,934.98 / $2,608.44 / $3,890.57