go back

Missouri rates for HCPCS 43634

Gastrectomy, partial, distal; with formation of intestinal pouch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $4,261.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,957.40 / $2,223.48 / $3,142.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,234.00 / $4,319.00 / $10,043.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,903.70 / $2,517.05 / $3,997.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,530.00 / $2,530.00 / $2,530.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,772.67 / $2,788.67 / $4,463.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,666.90 / $2,675.11 / $5,674.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,021.30 / $3,851.70 / $15,268.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,189.00 / $3,300.00 / $11,186.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.72 / $2,872.21 / $5,093.02