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Nebraska rates for HCPCS 35876

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $9,549.93 / $18,197.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $10,000.00 / $19,498.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,995.26 / $9,772.37
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,621.81 / $1,621.81 / $1,621.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,137.96 / $2,884.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $7,585.78 / $9,772.37