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Kentucky rates for HCPCS 43634

Gastrectomy, partial, distal; with formation of intestinal pouch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,678.39 / $2,165.03 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,868.63 / $2,116.21 / $2,617.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,049.25 / $9,122.94 / $15,243.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,433.21 / $1,706.03 / $2,821.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,007.58 / $2,755.49 / $3,178.66
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,968.21 / $2,755.49 / $3,936.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,420.59 / $2,420.59 / $2,420.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,765.67 / $2,515.12 / $4,079.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,165.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.00 / $2,513.00 / $27,879.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,817.64 / $2,530.39 / $4,151.95