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West Virginia 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
$1,057.11 / $1,057.11 / $1,400.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,056.10 / $1,213.60 / $1,322.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,137.72 / $1,137.72 / $1,137.72
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$110.65 / $110.65 / $110.65