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Nebraska rates for HCPCS 35111

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, splenic artery

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
$1,137.61 / $1,137.61 / $6,697.50
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
$1,096.46 / $1,868.96 / $2,491.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,710.20 / $2,841.32 / $3,819.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.47 / $2,298.25 / $13,909.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,570.26 / $2,878.18 / $9,344.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,284.91 / $2,841.32 / $3,819.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,178.86 / $2,841.32 / $3,514.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.00 / $4,317.00 / $13,909.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,811.84 / $2,842.41 / $3,382.09