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Maine 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
$1,332.43 / $1,881.90 / $1,881.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,308.50 / $1,608.88 / $2,376.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,465.02 / $1,881.90 / $2,651.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,379.74 / $1,535.86 / $2,389.80
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,332.43 / $1,881.90 / $1,881.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,251.57 / $1,771.58 / $2,138.12