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Nebraska rates for HCPCS 43122

Prtl Esophg Thoracoabd W/Wo Proxgastrec/Pyloropl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,237.31 / $2,316.78 / $4,166.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,856.25 / $22,987.11 / $40,340.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,171.02 / $3,700.59 / $4,934.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,101.41 / $5,580.69 / $7,873.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,237.31 / $3,803.43 / $5,419.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,524.87 / $5,280.25 / $18,414.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,233.00 / $5,598.95 / $7,873.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,822.13 / $5,598.95 / $7,481.66
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $3,255.10 / $6,698.00
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
$3,524.87 / $5,217.87 / $6,579.75