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Nebraska rates for HCPCS 43510

Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin)

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
$842.05 / $878.61 / $1,565.23
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
$812.99 / $1,385.79 / $1,847.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,161.78 / $2,066.33 / $2,962.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.05 / $1,431.49 / $1,993.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,308.10 / $1,959.54 / $6,888.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,478.00 / $2,096.78 / $2,770.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,376.37 / $2,096.78 / $2,770.17
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $1,226.30 / $2,522.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.00 / $3,726.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,308.10 / $2,024.29 / $2,451.92