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Arizona 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
$1,671.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.92 / $111.83 / $168.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.40 / $3,100.51 / $5,432.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.20 / $129.37 / $150.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.22 / $132.16 / $244.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.60 / $135.18 / $1,920.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.85 / $128.30 / $2,856.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.00 / $2,572.00 / $14,572.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.36 / $118.73 / $217.72