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Kentucky 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
$860.00 / $1,640.93 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,284.89 / $1,479.25 / $1,891.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,212.00 / $9,015.00 / $11,253.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,006.15 / $1,219.21 / $2,055.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,243.99 / $1,707.44 / $1,969.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,309.70 / $1,707.44 / $2,744.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,502.68 / $1,502.68 / $1,958.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,389.94 / $1,894.86 / $2,987.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $4,298.00 / $30,001.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.66 / $1,926.72 / $2,781.32