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Maryland rates for HCPCS 35021

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, innominate, subclavian artery, by thoracic incision

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,419.03 / $1,560.56 / $4,133.95
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,404.07 / $1,404.07 / $1,658.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,190.33 / $1,537.79 / $3,206.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,295.53 / $1,671.23 / $2,778.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,061.44 / $1,422.55 / $2,759.75
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,006.93 / $1,006.93 / $1,821.88