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Ohio rates for HCPCS 35002

Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, carotid, subclavian artery, by neck incision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,255.03 / $4,825.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.03 / $1,256.24 / $2,500.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,895.00 / $5,945.00 / $29,406.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,032.10 / $1,396.38 / $2,298.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,093.33 / $1,592.05 / $2,009.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,179.08 / $1,289.59 / $2,090.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,006.14 / $1,604.46 / $2,432.53
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,125.50 / $1,645.37 / $2,373.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.57 / $1,054.96 / $1,527.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,480.00 / $3,086.00 / $6,792.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,155.23 / $1,523.93 / $2,488.57