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Nebraska rates for HCPCS 33883

Delayed placement of proximal extension prosthesis(es) not involving coverage of the left subclavian artery origin, after endovascular repair of the thoracic aorta, including pre-procedure sizing and device selection, nonselective catheterization(s), all associated radiological supervision and interpretation, and treatment zone angioplasty/stenting, when performed

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
$31,744.80 / $41,753.08 / $80,763.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,224.23 / $1,863.63 / $13,745.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,924.47 / $2,366.80 / $3,229.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.00 / $4,317.00 / $13,909.00