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Delaware rates for HCPCS 43641

Vgtmy W/Pyloroplasty W/Wo Gastrost Parietal Cell

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,907.00 / $6,907.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,201.32 / $1,208.44 / $1,406.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,151.00 / $2,151.00 / $2,151.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.36 / $1,280.24 / $2,070.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.00 / $960.00 / $960.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.94 / $1,224.22 / $2,775.86