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West Virginia rates for HCPCS 35092

Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, abdominal aorta involving visceral vessels (mesenteric, celiac, renal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $2,745.81 / $2,745.81
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,724.23 / $3,143.14 / $3,424.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,928.62 / $2,928.62 / $2,928.62