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Nebraska rates for HCPCS 33987

Arterial exposure with creation of graft conduit (eg, chimney graft) to facilitate arterial perfusion for ECMO/ECLS (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $7,943.28 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $251.19 / $1,023.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,489.63 / $17,378.01 / $33,884.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $288.40 / $389.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $436.52 / $602.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $354.81 / $7,943.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $407.38 / $562.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $467.74 / $630.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
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
$281.84 / $398.11 / $537.03