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Nebraska rates for HCPCS 35621

Bypass graft, with other than vein; axillary-femoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $7,943.28 / $14,454.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $14,454.40 / $28,183.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $2,137.96 / $13,489.63
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,454.71 / $3,388.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $4,570.88 / $13,803.84