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Idaho rates for HCPCS 35022

Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, innominate, subclavian artery, by thoracic incision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,607.03 / $1,873.87 / $4,278.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,960.00 / $2,399.31 / $2,678.67
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,549.28 / $2,310.55 / $5,476.60
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,272.03 / $2,601.11 / $2,753.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $2,173.10 / $2,421.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,601.11 / $2,823.96 / $2,865.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $15,298.00 / $26,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,504.94 / $1,921.04 / $3,085.81