go back

Wyoming rates for HCPCS 43634

Gastrectomy, partial, distal; with formation of intestinal pouch

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,879.22 / $1,930.66 / $2,857.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,516.00 / $6,619.00 / $10,241.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,168.48 / $3,498.30 / $4,997.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,198.92 / $3,725.40 / $7,226.67