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Nebraska rates for HCPCS 35103

Dir Rpr Ruptd Aneurysm Abdom Aorta W/Iliac Vsls

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
$1,902.90 / $1,902.90 / $11,313.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,424.50 / $24,233.27 / $46,874.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,825.80 / $3,112.15 / $4,149.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,788.36 / $4,728.27 / $6,385.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,426.19 / $3,678.00 / $13,909.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,650.14 / $4,695.71 / $15,560.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,804.78 / $4,728.27 / $6,385.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,703.28 / $4,622.24 / $5,906.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,126.00 / $4,317.00 / $7,856.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,650.14 / $4,695.71 / $5,904.98