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Nebraska rates for HCPCS 33858

Ascending aorta graft, with cardiopulmonary bypass, includes valve suspension, when performed; for aortic dissection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $20,928.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,424.50 / $24,233.27 / $46,874.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,678.00 / $4,991.56 / $13,909.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,510.64 / $1,510.64 / $1,510.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,877.47 / $7,304.04 / $10,375.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.00 / $4,317.00 / $13,909.00