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Hawaii rates for HCPCS 35112

Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, splenic artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,747.00 / $2,747.00 / $2,747.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,730.65 / $1,730.65 / $1,730.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,841.21 / $1,841.21 / $2,228.50
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,365.91 / $2,589.23 / $3,200.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,620.27 / $1,767.56 / $2,062.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,446.00 / $2,446.00 / $2,446.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,502.43 / $1,932.19 / $2,485.79
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $1,948.49 / $2,921.94