go back

Arizona rates for HCPCS 43640

Vagotomy including pyloroplasty, with or without gastrostomy; truncal or selective

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996.33 / $1,187.64 / $1,745.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,660.00 / $6,198.03 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.78 / $1,389.46 / $1,615.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,003.32 / $1,344.30 / $2,567.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,098.58 / $1,359.07 / $2,673.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.46 / $1,306.83 / $8,612.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.00 / $2,572.00 / $14,572.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996.15 / $1,239.68 / $2,287.67