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Alaska rates for HCPCS 64755

Transection or avulsion of; vagus nerves limited to proximal stomach (selective proximal vagotomy, proximal gastric vagotomy, parietal cell vagotomy, supra- or highly selective vagotomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $12,022.64 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,122.02 / $2,754.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $3,090.30 / $3,890.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,258.93 / $6,165.95
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,818.38 / $5,128.61
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $3,715.35 / $5,370.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,230.27 / $4,786.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,258.93 / $3,090.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $2,454.71 / $6,165.95