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Nebraska rates for HCPCS 35636

Bypass graft, with other than vein; splenorenal (splenic to renal arterial anastomosis)

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
$1,364.32 / $1,364.32 / $8,036.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,424.50 / $24,233.27 / $46,874.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.51 / $2,240.63 / $2,987.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,051.85 / $3,406.82 / $4,580.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,739.51 / $2,745.53 / $13,909.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,885.16 / $3,336.98 / $11,205.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,739.29 / $3,406.82 / $4,580.45
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,621.92 / $3,406.82 / $4,217.50
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
$1,885.16 / $3,219.27 / $4,060.34