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Nebraska rates for HCPCS 43633

Gastrectomy, partial, distal; with Roux-en-Y reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $7,943.28 / $14,454.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,848.93 / $20,892.96 / $40,738.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $2,630.27 / $4,365.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,548.13 / $4,265.80 / $6,025.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $4,570.88 / $13,803.84