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Nebraska rates for HCPCS 33875

Descending thoracic aorta graft, with or without bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,943.28 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $3,162.28 / $13,803.84
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
$2,290.87 / $3,801.89 / $5,128.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $5,888.44 / $7,943.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $4,168.69 / $48,977.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $5,370.32 / $19,498.45
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,888.44 / $6,165.95 / $8,317.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,623.41 / $5,623.41 / $5,623.41
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
$3,235.94 / $5,011.87 / $7,079.46