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Arkansas 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
$1,064.04 / $1,611.78 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$845.60 / $1,108.92 / $1,401.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,012.98 / $1,266.23 / $1,340.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.18 / $1,424.79 / $1,934.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $900.00 / $2,421.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.49 / $1,084.19 / $1,889.20