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Connecticut rates for HCPCS 43641

Vgtmy W/Pyloroplasty W/Wo Gastrost Parietal Cell

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.13 / $7,629.00 / $8,031.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,080.91 / $1,632.34 / $2,823.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,807.00 / $9,678.00 / $13,278.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,119.31 / $2,545.07 / $3,159.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$998.00 / $998.00 / $998.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.76 / $1,828.54 / $3,591.49
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.58 / $886.65 / $1,945.41
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,420.62 / $1,869.04 / $2,497.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.00 / $4,738.00 / $16,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,081.60 / $1,885.70 / $4,535.27