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Indiana 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
$840.35 / $1,386.00 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.24 / $840.35 / $1,050.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,838.00 / $18,815.27 / $27,126.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.65 / $1,111.09 / $1,533.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.71 / $1,059.11 / $1,222.07
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.71 / $977.65 / $1,222.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.59 / $1,166.28 / $1,887.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,062.00 / $5,167.00 / $10,396.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.95 / $977.65 / $1,749.86