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Alaska rates for HCPCS 43635

Vagotomy when performed with partial distal gastrectomy (List separately in addition to code[s] for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.52 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.19 / $121.83 / $596.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.04 / $173.08 / $382.66
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.68 / $596.91 / $835.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.70 / $411.54 / $759.88
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.00 / $526.35 / $829.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.68 / $596.91 / $835.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.93 / $400.80 / $726.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.12 / $306.12 / $844.38