go back

Wisconsin 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
$117.49 / $218.78 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $120.23 / $229.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,128.31 / $13,803.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $199.53 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $316.23 / $501.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $245.47 / $446.68
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $151.36 / $8,128.31
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $229.09 / $371.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $162.18 / $4,786.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $204.17 / $2,884.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $234.42 / $371.54
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $2,238.72 / $2,238.72
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $524.81 / $2,884.03
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $389.05
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $467.74 / $524.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $6,165.95 / $19,498.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $154.88 / $407.38