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Nebraska rates for HCPCS 35566

Bypass graft, with vein; femoral-anterior tibial, posterior tibial, peroneal artery or other distal vessels

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
$11,018.89 / $14,492.85 / $28,033.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,816.30 / $2,752.08 / $13,909.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$735.86 / $735.86 / $735.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,854.79 / $3,547.70 / $4,800.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.00 / $4,317.00 / $13,909.00