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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)

Facilitymedian $8,511 · 10th–90th $3,715$25,1190%20%10th90th$8,511Professionalmedian $3,388 · 10th–90th $1,905$10,9650%10%10th90th$3,388$2.0K$5.0K$10.0K$20.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $7,943.28 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,570.40 / $10,964.78
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,620.87 / $23,988.33 / $46,773.51
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,090.30 / $4,168.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,466.84 / $4,677.35 / $6,456.54
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $3,715.35 / $39,810.72
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $4,365.16 / $15,488.17
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,801.89 / $5,011.87 / $6,760.83
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $4,365.16 / $4,365.16
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $4,466.84 / $8,128.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $3,981.07 / $5,754.40