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North Carolina rates for HCPCS 43634

Gastrectomy, partial, distal; with formation of intestinal pouch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,615.00 / $2,091.17 / $6,953.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,971.89 / $2,116.21 / $3,224.34
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,363.01 / $3,363.01 / $3,363.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,027.09 / $3,783.98 / $5,285.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $518.28 / $35,600.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,754.46 / $3,035.00 / $5,421.14
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,756.00 / $2,509.42 / $3,750.89
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,886.32 / $2,695.00 / $5,544.88
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,625.90 / $2,013.40 / $4,482.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.00 / $661.00 / $4,877.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,766.34 / $2,464.66 / $5,219.97
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $15,811.12 / $19,054.24
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,920.72 / $14,920.72 / $18,275.40