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Oklahoma rates for HCPCS 43641

Vgtmy W/Pyloroplasty W/Wo Gastrost Parietal Cell

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.00 / $3,684.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,103.98 / $1,302.10 / $1,565.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.20 / $1,541.31 / $1,955.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.79 / $1,562.53 / $4,310.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.04 / $1,453.09 / $8,760.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,760.00 / $6,155.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.69 / $1,299.83 / $2,016.23