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Nebraska rates for HCPCS 33853

Repair of hypoplastic or interrupted aortic arch using autogenous or prosthetic material; with cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $7,943.28 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $2,089.30 / $9,332.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,620.87 / $23,988.33 / $46,773.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,570.40 / $3,467.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $3,981.07 / $5,370.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $3,715.35 / $53,703.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $3,630.78 / $22,387.21
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,981.07 / $4,073.80 / $5,623.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $3,801.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $4,570.88 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $3,388.44 / $4,677.35