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Ohio 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
$828.56 / $4,723.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.32 / $879.71 / $1,688.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,142.00 / $15,258.77 / $26,788.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.25 / $978.68 / $1,576.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$822.25 / $897.00 / $1,306.15
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.64 / $967.35 / $1,231.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.41 / $1,231.17 / $1,718.11
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.24 / $1,050.24 / $1,050.24
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$923.38 / $1,262.10 / $1,713.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.29 / $791.33 / $1,188.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,480.00 / $3,086.00 / $6,111.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.94 / $1,125.43 / $1,755.66