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Nebraska rates for HCPCS 43845

Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 to 100 cm common channel) to limit absorption (biliopancreatic diversion with duodenal switch)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $7,943.28 / $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
$1,737.80 / $2,818.38 / $4,570.88
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$891.25 / $891.25 / $891.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $4,365.16 / $6,025.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $4,570.88 / $13,803.84