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Nebraska rates for HCPCS 33500

Repair of coronary arteriovenous or arteriocardiac chamber fistula; with cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $7,943.28 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,819.70 / $7,943.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,892.96 / $27,542.29 / $53,703.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $2,187.76 / $2,951.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $3,388.44 / $4,570.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $2,884.03 / $37,153.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $3,090.30 / $18,197.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $3,467.37 / $4,786.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $3,235.94 / $3,235.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $4,570.88 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,884.03 / $3,981.07