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Nebraska rates for HCPCS 43886

Gastric restrictive procedure, open; revision of subcutaneous port component only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $4,073.80 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $380.19 / $741.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,454.40 / $19,054.61 / $37,153.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $562.34 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $676.08 / $1,148.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $537.03 / $5,370.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $724.44 / $2,691.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $812.83 / $1,148.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $794.33 / $1,148.15
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $467.74 / $954.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $5,495.41 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $537.03 / $933.25