go back

Missouri 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
$1,285.23 / $4,261.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,100.79 / $1,249.85 / $1,744.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,234.00 / $4,319.00 / $10,043.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.05 / $1,397.97 / $2,257.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,530.00 / $2,530.00 / $2,530.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.09 / $1,560.23 / $2,586.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,079.41 / $1,552.50 / $3,434.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,151.30 / $2,127.67 / $8,612.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,189.00 / $3,300.00 / $11,186.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,115.71 / $1,651.17 / $2,869.33