go back

Arizona 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
$1,671.00 / $3,819.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.93 / $864.59 / $4,747.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.75 / $6,640.00 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.86 / $940.41 / $1,175.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.42 / $1,076.64 / $1,726.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$845.29 / $1,140.98 / $4,276.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.56 / $972.88 / $9,880.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,519.00 / $3,269.00 / $5,491.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.33 / $933.80 / $1,774.95