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Nebraska rates for HCPCS 33501

Repair of coronary arteriovenous or arteriocardiac chamber fistula; without cardiopulmonary bypass

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
$975.09 / $975.09 / $5,703.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,988.56 / $27,605.70 / $53,398.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$937.88 / $1,598.68 / $2,131.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,411.14 / $2,428.85 / $3,267.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,243.24 / $1,852.67 / $13,909.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,329.77 / $2,309.38 / $12,102.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,890.00 / $2,428.85 / $3,267.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,730.00 / $2,404.64 / $2,971.64
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
$1,329.77 / $2,309.38 / $2,981.55