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Nebraska rates for HCPCS 43502

Gastrotomy W/Sutr Rpr Pre-Esopg/Gastric Lac

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,344.56 / $1,402.54 / $2,505.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,856.25 / $22,987.11 / $40,340.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,296.22 / $2,209.46 / $2,945.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,856.08 / $3,320.45 / $4,752.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,344.56 / $2,272.31 / $3,326.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,103.66 / $3,151.28 / $11,001.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,420.00 / $3,347.87 / $4,575.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,236.21 / $3,347.87 / $4,451.50
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $1,949.50 / $3,944.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.00 / $4,317.00 / $13,909.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,103.66 / $3,232.32 / $3,926.83