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Nebraska rates for HCPCS 33884

Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption); each additional proximal extension (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,985.43 / $1,985.43 / $1,985.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,744.80 / $41,753.08 / $80,763.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.49 / $551.39 / $735.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.57 / $791.57 / $989.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.31 / $674.44 / $4,406.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.04 / $849.90 / $4,568.99
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$674.11 / $839.88 / $1,130.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.62 / $839.88 / $1,130.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.89 / $797.56 / $1,005.93