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Nebraska rates for HCPCS 33694

Compl Rpr T-Fallot W/O Pulm Atresia Tanulr Patch

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
$1,687.15 / $1,687.15 / $9,934.04
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
$1,624.71 / $2,769.38 / $3,692.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,490.10 / $4,207.49 / $5,670.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,151.12 / $3,205.59 / $13,909.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,321.09 / $4,007.68 / $22,284.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,385.71 / $4,207.49 / $5,670.05
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,150.00 / $4,187.75 / $5,187.39
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
$2,321.09 / $4,007.68 / $5,191.82