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Wyoming 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
$1,254.29 / $1,254.29 / $1,254.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,852.00 / $3,216.00 / $3,859.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,740.30 / $1,778.76 / $2,939.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,480.79 / $3,095.90 / $4,983.00