go back

Minnesota 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
$870.96 / $870.96 / $870.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $933.25 / $1,479.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $7,413.10 / $20,417.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,187.76 / $3,311.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $3,162.28 / $7,585.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,570.40 / $3,801.89
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $3,090.30 / $6,025.60
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,137.96 / $3,467.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,659.59 / $2,630.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,659.59 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $3,311.31 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,584.89 / $3,235.94