go back

Nebraska rates for HCPCS 33617

Rpr Complex Cardiac Anomaly Modified Fontan Px

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
$1,874.82 / $1,874.82 / $11,022.70
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
$1,806.36 / $3,079.04 / $4,105.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,763.01 / $4,674.18 / $6,266.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,390.40 / $3,562.16 / $13,909.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,573.94 / $4,400.68 / $27,293.42
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,764.28 / $4,677.93 / $6,266.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,548.00 / $4,653.54 / $5,758.42
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
$2,573.94 / $4,400.68 / $5,733.99