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Nebraska rates for HCPCS 43502

Gastrotomy; with suture repair of pre-existing esophagogastric laceration (eg, Mallory-Weiss)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $7,943.28 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,513.56 / $2,951.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,848.93 / $20,892.96 / $40,738.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $2,187.76 / $2,951.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $2,691.53 / $4,786.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $2,089.30 / $4,365.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $3,019.95 / $10,964.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $3,388.44 / $4,786.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $3,235.94 / $4,786.30
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $1,737.80 / $3,801.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $4,570.88 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,238.72 / $3,890.45