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Utah rates for HCPCS 43641

Vgtmy W/Pyloroplasty W/Wo Gastrost Parietal Cell

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,573.92 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,110.82 / $1,573.92 / $3,457.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.13 / $1,666.54 / $2,469.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.48 / $789.44 / $1,163.50
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,576.12 / $1,984.19 / $2,593.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.00 / $2,446.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,083.20 / $1,453.05 / $2,441.23