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Nebraska rates for HCPCS 35304

Thromboendarterectomy, including patch graft, if performed; tibioperoneal trunk 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
$1,390.13 / $2,083.30 / $12,867.21
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,194.52 / $2,718.32 / $3,674.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.00 / $4,317.00 / $13,909.00