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Nebraska rates for HCPCS 43501

Gastrotomy; with suture repair of bleeding ulcer

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $20,928.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,856.25 / $22,987.11 / $40,340.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,189.48 / $2,010.22 / $2,937.58
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,127.00 / $2,954.12 / $3,972.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.00 / $4,317.00 / $13,909.00