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Nebraska rates for HCPCS 33697

Compl Rpr T-Fallot W/Pulm Atresia

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