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Nebraska rates for HCPCS 43632

Gastrectomy, partial, distal; with gastrojejunostomy

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
$1,768.96 / $3,002.68 / $4,287.52
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$927.06 / $927.06 / $927.06
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,027.52 / $4,457.03 / $5,958.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.00 / $4,317.00 / $13,909.00