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Rhode Island rates for HCPCS 43634

Gastrectomy, partial, distal; with formation of intestinal pouch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $3,981.07 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,290.87 / $4,265.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,818.38 / $4,168.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $2,691.53 / $5,370.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $2,238.72 / $6,606.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,511.89 / $4,677.35