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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
$147.91 / $3,388.44 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $120.23 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $154.88 / $245.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $190.55 / $269.15
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $204.17 / $288.40
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $162.18 / $245.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $5,128.61 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $125.89 / $199.53