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Nebraska rates for HCPCS 34848

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 four or more 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
$1,995.15 / $1,995.15 / $1,995.15
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
$2,540.32 / $4,330.09 / $5,773.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,134.59 / $6,179.25 / $11,506.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.15 / $3,491.51 / $30,269.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,185.21 / $4,123.87 / $7,483.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,553.06 / $4,747.35 / $6,461.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,283.21 / $4,747.35 / $6,566.71
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
$2,674.36 / $3,731.66 / $5,743.38