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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
$4,265.80 / $7,585.78 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,318.26 / $2,454.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $14,791.08 / $28,840.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,905.46 / $2,691.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $2,290.87 / $3,981.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,905.46 / $8,709.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,511.89 / $9,772.37
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,884.03 / $3,981.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,691.53 / $3,981.07
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $1,995.26 / $3,235.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $7,413.10 / $10,232.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,905.46 / $3,311.31