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West Virginia 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
$1,400.00 / $1,403.23 / $1,403.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,403.23 / $1,465.25 / $1,618.77
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,399.49 / $1,616.66 / $1,761.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,565.68 / $1,565.68 / $1,565.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,502.68 / $1,502.68 / $1,502.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,240.08 / $2,078.17 / $8,250.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,134.60 / $1,661.40 / $2,579.34