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Maine 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
$1,497.02 / $1,497.02 / $8,164.03
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,164.03 / $8,164.03 / $8,164.03