go back

Montana 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
Professional
Modifier
Low / Median / High Price
$1,607.03 / $7,354.86 / $7,354.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,227.81 / $2,227.81 / $2,227.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,611.90 / $2,227.81 / $2,227.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,227.81 / $2,611.69 / $2,721.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,371.96 / $1,943.65 / $2,968.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,049.17 / $2,502.01 / $3,909.96