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Virginia rates for HCPCS 35091

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, abdominal aorta involving visceral vessels (mesenteric, celiac, renal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,019.93 / $4,905.47 / $9,539.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,153.00 / $7,363.00 / $9,410.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,616.88 / $1,940.26 / $2,392.98
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,007.61 / $2,475.62 / $3,660.20
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$568.24 / $618.83 / $711.25
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,706.07 / $2,416.01 / $4,462.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $5,226.00