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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
$4,241.22 / $10,431.19 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.23 / $179.23 / $1,057.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,424.93 / $17,657.45 / $34,155.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.08 / $293.31 / $391.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.88 / $445.62 / $604.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.52 / $357.36 / $4,406.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.16 / $427.61 / $557.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.58 / $445.62 / $637.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.39 / $467.49 / $637.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.00 / $4,317.00 / $13,909.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.16 / $430.87 / $552.86