go back

Indiana rates for HCPCS 43641

Vgtmy W/Pyloroplasty W/Wo Gastrost Parietal Cell

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,153.21 / $1,278.08 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,110.82 / $1,209.90 / $1,625.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,600.00 / $11,226.46 / $15,429.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.64 / $1,213.30 / $1,674.35
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,065.07 / $1,384.59 / $1,597.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,065.07 / $1,222.17 / $1,597.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.00 / $761.00 / $1,373.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,088.68 / $1,370.61 / $2,422.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.00 / $5,076.00 / $10,396.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,038.14 / $1,305.11 / $2,151.42