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Nebraska rates for HCPCS 43775

Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $8,511.38 / $19,952.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,454.40 / $19,054.61 / $37,153.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,698.24 / $8,128.31
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$501.19 / $501.19 / $501.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,511.89 / $3,467.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $7,762.47 / $11,748.98