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Oklahoma rates for HCPCS 43634

Gastrectomy, partial, distal; with formation of intestinal pouch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.00 / $3,684.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,946.91 / $2,297.03 / $2,753.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800.21 / $2,687.22 / $3,465.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,408.00 / $2,557.92 / $5,833.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,860.15 / $2,527.39 / $15,268.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,760.00 / $6,155.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,792.64 / $2,301.26 / $3,592.00