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Alaska rates for HCPCS 35111

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, splenic artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,845.36 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,697.50 / $7,385.81 / $7,385.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,537.34 / $4,537.34 / $4,537.34
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,618.62 / $7,385.81 / $10,561.71
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,157.03 / $6,832.00 / $10,621.13
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,880.00 / $5,660.80 / $8,498.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,618.62 / $7,385.81 / $10,561.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,267.16 / $5,788.50 / $8,862.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,629.88 / $5,444.82 / $8,389.76