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Nebraska rates for HCPCS 43770

Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric band and subcutaneous port components)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,382.00 / $8,477.27 / $19,276.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,219.04 / $16,264.47 / $28,543.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$996.98 / $1,694.87 / $3,219.70
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,770.00 / $2,479.61 / $3,414.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,777.00 / $8,220.00 / $19,670.00