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Nebraska rates for HCPCS 33697

Complete repair tetralogy of Fallot with pulmonary atresia including construction of conduit from right ventricle to pulmonary artery and closure of ventricular septal defect

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
$1,776.94 / $1,776.94 / $10,461.79
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
$1,710.79 / $2,916.11 / $3,888.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,624.61 / $4,430.41 / $5,971.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,265.60 / $3,414.09 / $13,909.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,444.78 / $4,258.25 / $21,818.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,565.10 / $4,430.41 / $5,971.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,402.40 / $4,411.17 / $5,464.27
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
$2,444.78 / $4,383.68 / $4,658.25