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Tennessee 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
$2,095.66 / $2,747.37 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,259.82 / $1,547.74 / $2,531.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,417.00 / $2,387.00 / $5,611.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,252.19 / $1,701.96 / $2,865.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,356.61 / $1,988.80 / $2,827.84
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $23,228.80 / $23,832.80
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,110.95 / $9,344.48 / $11,170.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.00 / $2,665.00 / $4,918.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.30 / $2,017.50 / $3,070.00