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Nebraska rates for HCPCS 43634

Gastrectomy, partial, distal; with formation of intestinal pouch

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
$1,865.72 / $1,865.72 / $3,480.55
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
$1,797.63 / $3,064.13 / $4,085.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,579.15 / $4,630.53 / $6,607.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,865.72 / $3,153.07 / $4,483.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,930.66 / $4,390.12 / $15,268.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,191.00 / $4,647.71 / $6,207.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,920.00 / $4,647.71 / $6,207.81
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $2,700.90 / $5,478.30
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
$2,913.04 / $4,413.76 / $5,595.07