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Nebraska 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
$814.56 / $8,477.27 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.56 / $814.56 / $4,747.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,416.80 / $8,439.85 / $16,325.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$786.13 / $1,340.01 / $1,786.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,308.19 / $1,978.91 / $2,675.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.56 / $1,425.48 / $4,406.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,099.83 / $1,818.94 / $2,477.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.94 / $2,027.63 / $2,691.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,297.22 / $1,835.77 / $2,675.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.00 / $4,317.00 / $13,909.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,099.83 / $1,958.20 / $2,231.80