go back

Pennsylvania 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
$1,189.73 / $3,839.00 / $8,113.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.75 / $1,189.73 / $1,541.90
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,296.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,193.80 / $1,238.84 / $1,238.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $2,151.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,016.90 / $1,437.15 / $2,461.42
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,682.50 / $2,682.50 / $2,682.50
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,442.96 / $1,848.65 / $2,393.90
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $4,761.00 / $8,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996.33 / $1,237.32 / $4,031.12
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.70 / $1,071.70 / $1,071.70
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $1,444.80 / $3,003.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $800.00 / $2,151.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.63 / $1,437.14 / $2,461.42
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$938.60 / $1,166.10 / $1,166.10
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.60 / $1,166.10 / $1,228.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.00 / $2,020.00 / $6,322.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,015.13 / $1,352.56 / $2,309.06