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Rhode Island 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 / $3,981.07 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $120.23 / $239.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $147.91 / $218.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $173.78 / $323.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $2,238.72 / $6,606.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $138.04 / $245.47