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Nebraska rates for HCPCS 43830

Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $20,928.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,535.24 / $21,072.03 / $36,980.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.01 / $1,065.92 / $2,020.73
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$382.77 / $382.77 / $382.77
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,083.00 / $1,549.49 / $2,058.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,217.00 / $6,451.00 / $7,934.00