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New York rates for HCPCS 43634

Gastrectomy, partial, distal; with formation of intestinal pouch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.00 / $3,734.81 / $10,170.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,879.22 / $2,460.63 / $4,281.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,283.00 / $4,975.00 / $11,448.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,735.75 / $2,132.82 / $4,875.39
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,992.27 / $2,992.27 / $37,499.62
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,992.27 / $2,992.27 / $2,992.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,765.00 / $2,420.59 / $7,227.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,663.42 / $3,172.64 / $7,840.21
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $2,280.00 / $5,700.04
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,385.41 / $2,941.50 / $4,382.70
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,955.25 / $1,955.25 / $1,955.25
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,564.20 / $2,502.55 / $3,883.95
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $2,420.59 / $7,227.90
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,820.00 / $3,070.23 / $7,250.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$996.00 / $4,194.00 / $9,020.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,749.58 / $2,533.35 / $5,929.46
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,502.55 / $2,502.55 / $5,974.38
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,564.20 / $2,806.70 / $5,320.21