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Nebraska rates for HCPCS 35883

Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg, polyester, ePTFE, bovine pericardium)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,005.00 / $10,563.53 / $20,928.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,018.89 / $14,492.85 / $28,033.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,309.49 / $2,037.56 / $9,696.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,057.17 / $2,545.83 / $3,464.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,777.00 / $8,220.00 / $9,696.00