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Nebraska rates for HCPCS 33852

Repair of hypoplastic or interrupted aortic arch using autogenous or prosthetic material; without cardiopulmonary bypass

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
$1,218.64 / $1,218.64 / $7,144.91
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
$1,175.47 / $2,003.64 / $2,671.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,788.72 / $3,026.18 / $4,017.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,553.77 / $2,371.21 / $13,909.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,664.99 / $2,871.05 / $16,901.89
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,389.00 / $3,044.10 / $4,017.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.00 / $3,026.18 / $3,729.35
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
$1,921.14 / $2,929.61 / $3,733.80