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Utah rates for HCPCS 43641

Vagotomy including pyloroplasty, with or without gastrostomy; parietal cell (highly selective)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,388.44 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,288.25 / $2,818.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,548.82 / $2,511.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $2,570.40
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,995.26 / $2,570.40
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $2,238.72 / $3,019.95
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,819.70 / $2,570.40
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
$1,047.13 / $1,318.26 / $2,089.30