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West 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
$1,400.00 / $1,976.14 / $1,976.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,970.77 / $2,273.50 / $2,477.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,122.44 / $2,122.44 / $2,122.44