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Nebraska rates for HCPCS 33877

Repair of thoracoabdominal aortic aneurysm with graft, with or without cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $7,943.28 / $14,454.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,620.87 / $23,988.33 / $46,773.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $5,248.07 / $64,565.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,762.47 / $8,128.31 / $10,964.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $4,570.88 / $13,803.84