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Maine 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
Professional
Modifier
Low / Median / High Price
$100.00 / $125.89 / $229.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $13,489.63 / $18,197.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $169.82 / $263.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $190.55 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $162.18 / $275.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $186.21 / $316.23
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $162.18 / $338.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $158.49 / $251.19