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Idaho 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
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.63 / $148.91 / $320.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.00 / $173.58 / $209.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.50 / $207.01 / $352.94
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.32 / $190.19 / $217.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $170.28
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.22 / $222.38 / $226.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $15,298.00 / $26,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.73 / $155.65 / $243.45