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Nebraska rates for HCPCS 35005

Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, vertebral artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $7,943.28 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,230.27 / $4,897.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $10,964.78 / $21,379.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,380.38 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $2,137.96 / $2,884.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $2,041.74 / $12,302.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,949.84 / $8,317.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,187.76 / $3,019.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,041.74 / $2,041.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $4,570.88 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,905.46 / $2,511.89