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Maine 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
Professional
Modifier
Low / Median / High Price
$1,613.95 / $1,973.53 / $1,973.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,374.16 / $1,685.74 / $2,509.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,657.16 / $1,973.53 / $2,756.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.65 / $1,609.23 / $2,503.96
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,613.95 / $1,973.53 / $1,973.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,530.31 / $2,161.98 / $2,496.25