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Nebraska rates for HCPCS 35011

Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm and associated occlusive disease, axillary-brachial artery, by arm incision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $20,928.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.41 / $9,976.87 / $19,298.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,109.98 / $1,654.08 / $9,696.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,314.53 / $1,314.53 / $1,314.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,747.58 / $2,171.75 / $2,924.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,777.00 / $8,220.00 / $9,696.00