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Nebraska rates for HCPCS 43641

Vgtmy W/Pyloroplasty W/Wo Gastrost Parietal Cell

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
$1,064.35 / $1,110.82 / $1,981.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,535.24 / $21,072.03 / $36,980.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.10 / $1,750.77 / $2,334.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,469.46 / $2,618.13 / $3,756.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,064.35 / $1,798.77 / $2,608.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,660.38 / $2,487.25 / $8,760.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,872.00 / $2,651.36 / $3,509.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,728.62 / $2,651.36 / $3,509.93
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $1,546.80 / $3,108.70
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
$1,651.89 / $2,580.23 / $3,099.38