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Nebraska rates for HCPCS 35305

Thromboendarterectomy, including patch graft, if performed; tibial or peroneal artery, initial vessel

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
$1,338.66 / $2,002.11 / $12,378.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,111.42 / $2,608.42 / $3,540.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.00 / $4,317.00 / $13,909.00