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Nebraska rates for HCPCS 43772

Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $7,585.78 / $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
$831.76 / $1,412.54 / $6,309.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,137.96 / $2,951.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $6,309.57 / $9,120.11