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Nebraska rates for HCPCS 43847

Gastric Rstcv W/Byp W/Sm Int Rcnstj Limit Absrpj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,594.03 / $1,594.03 / $2,969.84
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
$1,536.54 / $2,619.09 / $3,492.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,199.77 / $3,929.02 / $5,633.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,594.03 / $2,693.91 / $3,876.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,490.98 / $3,731.48 / $13,253.41
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,834.00 / $3,967.94 / $5,304.47
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,657.11 / $3,967.94 / $5,267.38
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.00 / $2,311.50 / $4,655.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.00 / $4,317.00 / $13,909.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,490.98 / $3,870.98 / $4,117.38