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Nebraska rates for HCPCS 34843

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 three 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
$1,637.87 / $1,637.87 / $1,637.87
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
$1,291.29 / $2,201.05 / $2,934.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,376.96 / $5,229.28 / $6,693.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,637.87 / $2,866.27 / $23,213.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,177.44 / $3,430.07 / $6,867.91
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,916.81 / $4,017.51 / $5,229.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,284.69 / $4,017.51 / $5,685.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.00 / $4,317.00 / $13,909.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,177.44 / $3,718.39 / $5,270.94