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Nebraska rates for HCPCS 35875

Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula);

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,463.36 / $11,611.47 / $24,068.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.41 / $9,976.87 / $19,298.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.40 / $1,009.97 / $9,696.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,024.84 / $1,556.48 / $5,718.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,777.00 / $8,220.00 / $9,696.00