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Nebraska rates for HCPCS 35103

Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, abdominal aorta involving iliac vessels (common, hypogastric, external)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $7,943.28 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,630.27 / $10,964.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,620.87 / $23,988.33 / $46,773.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $3,090.30 / $4,168.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $4,570.88 / $6,456.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $3,715.35 / $39,810.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $4,365.16 / $15,488.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $5,011.87 / $6,760.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $4,365.16 / $4,365.16
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
$3,019.95 / $4,073.80 / $5,754.40