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California 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
$3,715.35 / $10,000.00 / $22,908.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $123.03 / $575.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $8,317.64 / $15,848.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $158.49 / $281.84
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $100.00 / $6,025.60
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $162.18 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $724.44 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $141.25 / $269.15
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $776.25 / $977.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $109.65 / $234.42
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $2,238.72
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $2,884.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $165.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $144.54 / $263.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $141.25 / $281.84
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $354.81
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $1,096.48 / $1,659.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $5,495.41 / $17,378.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $120.23 / $223.87