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Nebraska rates for HCPCS 43284

Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $7,943.28 / $15,135.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $676.08 / $1,230.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $14,791.08 / $28,840.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $977.24 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,174.90 / $2,041.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $977.24 / $9,772.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,288.25 / $4,786.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,445.44 / $2,041.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,380.38 / $2,041.74
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $1,659.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $8,511.38 / $14,125.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,071.52 / $1,659.59