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Massachusetts 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
$107.15 / $3,388.44 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $120.23 / $309.03
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $831.76 / $3,715.35
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $169.82 / $2,884.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $741.31 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $165.96 / $338.84
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $208.93 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $147.91 / $218.78
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $2,454.71 / $4,677.35
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $181.97 / $275.42
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $831.76 / $3,715.35
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $169.82 / $2,884.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $2,754.23 / $4,677.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $162.18 / $302.00