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Kentucky rates for HCPCS 43634

Gastrectomy, partial, distal; with formation of intestinal pouch

Facilitymedian $7,244 · 10th–90th $851–$11,2200%10%20%10th90th$7,244Professionalmedian $2,138 · 10th–90th $1,698–$3,1620%20%10th90th$2,138$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $2,630.27 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,187.76 / $3,162.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $10,715.19 / $11,220.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,737.80 / $2,630.27
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,238.72 / $3,162.28
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,949.84 / $2,454.71 / $3,162.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $3,630.78 / $3,630.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,818.38 / $10,000.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $2,089.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $4,168.69 / $28,183.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $2,398.83 / $3,890.45