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Nebraska rates for HCPCS 35142

Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, common femoral artery (profunda femoris, superficial femoral)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $7,943.28 / $14,454.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $10,000.00 / $19,498.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $2,454.71 / $13,182.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $2,951.21 / $4,073.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $4,570.88 / $13,803.84