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Nebraska rates for HCPCS 43240

Esophagogastroduodenoscopy, flexible, transoral; with transmural drainage of pseudocyst (includes placement of transmural drainage catheter[s]/stent[s], when performed, and endoscopic ultrasound, when performed)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,318.31 / $5,463.36 / $13,841.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,430.26 / $12,221.51 / $21,447.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.75 / $623.55 / $1,048.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$709.37 / $953.00 / $7,521.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00