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Nebraska rates for HCPCS 43888

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,318.31 / $6,048.00 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.69 / $433.23 / $770.45
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
$403.07 / $687.07 / $916.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.62 / $1,028.41 / $1,456.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.69 / $708.37 / $1,052.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.35 / $1,022.56 / $3,403.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$737.20 / $1,043.86 / $3,628.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.50 / $1,033.47 / $1,353.41
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $615.90 / $1,204.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,341.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.70 / $995.10 / $1,195.32