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Nebraska rates for HCPCS 33764

Shunt Central W/Prosthetic Graft

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
$1,149.27 / $1,149.27 / $6,732.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,424.50 / $24,233.27 / $46,874.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,109.48 / $1,891.16 / $2,521.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,684.09 / $2,871.87 / $3,850.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,465.32 / $2,183.61 / $13,909.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,567.36 / $2,681.41 / $12,784.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,266.00 / $2,873.22 / $3,850.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,074.00 / $2,855.14 / $3,509.88
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
$1,808.49 / $2,810.39 / $3,375.85