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Minnesota 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
$97.72 / $97.72 / $97.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $120.23 / $218.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $1,819.70 / $4,265.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $275.42 / $407.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $380.19 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $288.40 / $446.68
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $363.08 / $707.95
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $257.04 / $407.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $165.96 / $1,737.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $208.93 / $2,884.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $3,311.31 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $190.55 / $380.19