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New Jersey rates for HCPCS 43634

Gastrectomy, partial, distal; with formation of intestinal pouch

Facilitymedian $6,761 · 10th–90th $3,631–$11,7490%10%20%10th90th$6,761Professionalmedian $2,344 · 10th–90th $1,820–$4,3650%10%20%10th90th$2,344$100.0$500.0$2.0K$10.0K

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
$4,365.16 / $6,918.31 / $11,748.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,290.87 / $4,073.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $3,630.78 / $3,630.78
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $2,511.89 / $5,248.07
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $2,951.21 / $4,168.69
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $223.87 / $251.19
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $2,398.83 / $5,011.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $4,897.79 / $10,232.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $2,344.23 / $4,466.84