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Nebraska rates for HCPCS 43647

Laps Impltj/Rplcmt Gastric Nstim Eltrd Antrum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,382.00 / $8,477.27 / $19,276.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.67 / $554.67 / $1,021.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,416.80 / $9,302.56 / $16,325.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,160.95 / $1,978.89 / $2,638.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.80 / $1,493.38 / $3,587.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.21 / $915.22 / $9,696.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,727.85 / $2,557.21 / $4,750.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,176.22 / $1,461.71 / $2,799.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,225.25 / $1,863.75 / $3,163.36
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $7.00 / $1,014.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,148.00 / $9,696.00 / $15,622.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.38 / $2,557.21 / $3,083.84