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Nebraska rates for HCPCS 34842

Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) by deployment of a fenestrated visceral aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including two visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s])

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
$1,492.99 / $1,492.99 / $1,492.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,744.80 / $41,753.08 / $80,763.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,173.90 / $2,000.97 / $2,667.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,061.69 / $4,440.87 / $5,551.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,492.99 / $2,612.73 / $21,152.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,026.28 / $3,178.15 / $6,252.34
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,658.74 / $3,661.44 / $4,765.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,993.08 / $3,661.44 / $5,182.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.00 / $4,317.00 / $7,856.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,026.28 / $3,351.16 / $4,798.51