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Rhode Island rates for HCPCS 43641

Vgtmy W/Pyloroplasty W/Wo Gastrost Parietal Cell

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,706.14 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,065.82 / $1,151.24 / $1,778.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,261.75 / $1,598.85 / $2,247.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.00 / $680.00 / $680.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.93 / $1,911.49 / $2,812.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,551.00 / $3,539.00 / $7,205.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.74 / $1,561.27 / $2,663.86