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Nebraska rates for HCPCS 35623

Byp Oth/Thn Vein Axillary-Popliteal/-Tibial

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
$1,125.44 / $1,125.44 / $6,623.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,018.89 / $14,492.85 / $28,033.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.71 / $1,848.94 / $2,465.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,691.48 / $2,811.49 / $3,777.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,434.94 / $2,272.81 / $13,909.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,552.80 / $2,748.08 / $13,197.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,260.44 / $2,811.49 / $3,777.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,157.92 / $2,811.49 / $3,477.09
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
$1,552.80 / $2,748.08 / $3,456.85