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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
$5,463.36 / $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
$1,034.32 / $1,577.19 / $9,696.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,618.01 / $1,618.01 / $1,618.01
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,626.45 / $2,471.64 / $5,718.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,777.00 / $8,220.00 / $9,696.00