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North Dakota 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
$900.08 / $900.08 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.20 / $861.75 / $962.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,831.86 / $2,015.14 / $2,362.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,072.90 / $2,143.51 / $2,855.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.08 / $1,126.46 / $1,531.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$967.92 / $1,651.20 / $2,311.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$967.92 / $1,698.12 / $1,942.64