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Virginia rates for HCPCS 35102

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 iliac vessels (common, hypogastric, external)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,124.92 / $5,048.00 / $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
$1,706.94 / $2,048.33 / $2,526.27
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,120.12 / $2,588.50 / $3,740.94
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$595.67 / $651.75 / $748.19
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,728.37 / $2,385.66 / $4,501.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $5,226.00