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Oklahoma 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
$1,000.00 / $3,742.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.95 / $835.86 / $932.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $900.00 / $900.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.19 / $1,193.66 / $1,534.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.01 / $1,227.21 / $5,882.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.37 / $1,011.33 / $9,880.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,760.00 / $6,155.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.34 / $947.14 / $1,347.53