go back

Arizona rates for HCPCS 43641

Vgtmy W/Pyloroplasty W/Wo Gastrost Parietal Cell

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,065.82 / $1,210.33 / $1,803.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,660.00 / $6,198.03 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,229.31 / $1,404.92 / $1,633.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.77 / $1,357.83 / $2,602.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.82 / $1,375.25 / $2,731.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.04 / $1,334.18 / $8,760.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.00 / $2,572.00 / $14,572.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.84 / $1,263.97 / $2,323.60