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Massachusetts 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
$933.25 / $3,388.44 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,023.29 / $2,454.71
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $2,137.96 / $5,888.44
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,348.96 / $9,772.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,412.54 / $2,344.23
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $1,445.44 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,202.26 / $1,659.59
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,311.31 / $5,888.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,584.89 / $2,398.83
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $2,187.76 / $5,888.44
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,348.96 / $9,772.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $2,884.03 / $4,677.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,318.26 / $2,630.27