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Nebraska rates for HCPCS 43635

Vagotomy when performed with partial distal gastrectomy (List separately in addition to code[s] for primary procedure)

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
$98.28 / $102.43 / $183.78
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
$94.34 / $160.83 / $214.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.69 / $244.35 / $347.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.28 / $171.99 / $312.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.28 / $232.61 / $2,856.41
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.00 / $244.53 / $347.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.00 / $244.35 / $328.56
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.40 / $193.30 / $289.10
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
$155.28 / $227.10 / $289.86