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New Jersey rates for HCPCS 43634

Gastrectomy, partial, distal; with formation of intestinal pouch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,807.75 / $4,540.00 / $10,871.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,807.75 / $2,116.21 / $3,584.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.52 / $2,740.52 / $5,487.20
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,533.35 / $3,263.50 / $3,959.71
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,691.25 / $2,406.61 / $3,955.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,627.00 / $6,590.00 / $10,536.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,343.11 / $2,295.69 / $4,620.59