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Nebraska rates for HCPCS 33864

Ascending aorta graft, with cardiopulmonary bypass with valve suspension, with coronary reconstruction and valve-sparing aortic root remodeling (eg, David Procedure, Yacoub Procedure)

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
$3,543.61 / $4,863.78 / $13,909.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,430.86 / $1,430.86 / $1,430.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,547.00 / $6,879.13 / $9,349.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.00 / $4,317.00 / $13,909.00