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Nebraska rates for HCPCS 43255

Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $3,801.89 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $389.05 / $1,230.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $281.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $4,073.80 / $7,943.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $501.19 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $691.83 / $1,819.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $537.03 / $1,380.38
Medica
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$724.44 / $724.44 / $724.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $1,202.26 / $4,570.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $1,148.15 / $1,905.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $1,122.02 / $1,445.44
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $512.86 / $1,778.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $3,162.28 / $8,128.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $512.86 / $1,479.11