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Nebraska rates for HCPCS 43771

Laps Gastric Restrictive Px Revision Device

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
$1,130.79 / $1,177.94 / $2,104.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,219.04 / $16,264.47 / $28,543.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,090.08 / $1,858.10 / $2,477.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,558.99 / $2,780.68 / $3,988.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,130.79 / $1,922.34 / $3,621.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,764.47 / $2,774.96 / $9,854.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,022.00 / $2,811.49 / $3,931.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,896.97 / $2,811.49 / $3,727.86
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.00 / $1,730.70 / $3,301.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $19,670.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,764.47 / $2,718.42 / $3,363.67