go back

West 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
$1,400.00 / $1,887.69 / $1,887.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,871.22 / $2,161.61 / $2,355.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,009.35 / $2,009.35 / $2,009.35