go back

Nebraska rates for HCPCS 43773

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

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 / $2,783.35 / $3,988.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,130.79 / $1,922.34 / $3,653.91
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
$2,023.00 / $2,811.49 / $3,933.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,898.22 / $2,811.49 / $3,731.42
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.00 / $1,813.50 / $3,299.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $19,670.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,764.47 / $2,718.42 / $3,346.76