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Nebraska rates for HCPCS 43645

Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit absorption

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $7,943.28 / $14,454.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $14,791.08 / $28,840.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $2,754.23 / $8,128.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $4,168.69 / $5,754.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $7,244.36 / $10,000.00