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California 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
$4,466.84 / $10,471.29 / $22,908.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,023.29 / $4,786.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $11,481.54 / $18,197.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,445.44 / $2,754.23
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $100.00 / $8,128.31
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,148.15 / $2,344.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,122.02 / $2,290.87
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $891.25 / $1,174.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,047.13 / $1,995.26
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $8,317.64
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,772.37 / $9,772.37 / $9,772.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,348.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,122.02 / $1,905.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,122.02 / $2,290.87
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $2,951.21 / $2,951.21
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $891.25 / $1,258.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $6,165.95 / $18,620.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $933.25 / $1,949.84