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Nebraska rates for HCPCS 34846

Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) with a fenestrated visceral aortic endograft and concomitant unibody or modular infrarenal 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
$1,758.60 / $1,758.60 / $1,758.60
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
$2,149.51 / $3,663.94 / $4,885.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,578.71 / $5,434.11 / $9,221.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,758.60 / $3,077.55 / $26,471.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,100.62 / $3,971.16 / $6,252.34
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,131.75 / $4,174.89 / $5,650.43
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,745.74 / $4,174.89 / $5,795.03
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
$2,100.62 / $3,802.44 / $5,709.77