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Utah 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
$149.86 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.43 / $148.91 / $320.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.38 / $156.40 / $242.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.64 / $109.09 / $149.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.34 / $184.30 / $247.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.00 / $2,446.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.68 / $134.88 / $203.35