go back

Hawaii rates for HCPCS 35011

Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm and associated occlusive disease, axillary-brachial artery, by arm incision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,747.00 / $2,747.00 / $2,747.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,017.85 / $1,110.38 / $1,295.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $3,028.00 / $3,028.00