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Oklahoma rates for HCPCS 35005

Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, vertebral artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.73 / $3,684.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.73 / $1,230.73 / $1,268.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.55 / $1,469.42 / $1,768.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.00 / $1,597.43 / $6,155.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.77 / $1,340.15 / $8,338.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.00 / $2,545.00 / $6,155.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.93 / $1,176.05 / $1,696.92