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Nebraska rates for HCPCS 43887

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,166.29 / $5,463.36 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.25 / $310.89 / $550.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,535.24 / $21,072.03 / $36,980.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.56 / $493.58 / $658.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.94 / $741.62 / $1,035.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.25 / $507.03 / $739.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.16 / $731.91 / $2,442.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$516.04 / $749.90 / $1,844.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.81 / $734.17 / $960.25
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $439.40 / $862.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.00 / $3,726.00 / $7,934.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.97 / $672.15 / $847.76