go back

Nebraska rates for HCPCS 35303

Thromboendarterectomy, including patch graft, if performed; popliteal artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,241.22 / $10,431.19 / $20,928.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.41 / $9,976.87 / $19,298.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,354.38 / $2,002.11 / $12,362.94
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$544.05 / $544.05 / $544.05
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,109.15 / $2,615.69 / $3,561.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,126.00 / $4,317.00 / $7,856.00