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Nebraska rates for HCPCS 35121

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, hepatic, celiac, renal, or mesenteric artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $7,943.28 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,905.46 / $7,762.47
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
$1,288.25 / $2,187.76 / $2,951.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $3,388.44 / $4,570.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $3,162.28 / $28,183.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $3,090.30 / $11,220.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $3,715.35 / $4,786.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28
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
$2,137.96 / $2,951.21 / $3,981.07