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Indiana 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
$1,400.81 / $1,465.54 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,284.89 / $1,465.54 / $1,891.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,490.00 / $10,338.00 / $26,304.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,183.70 / $1,490.00 / $2,056.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,210.05 / $1,594.42 / $2,562.46
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.81 / $1,480.53 / $2,049.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,327.74 / $1,925.84 / $3,802.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.00 / $5,242.00 / $10,843.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,264.50 / $1,708.31 / $2,574.90