go back

Idaho rates for HCPCS 35112

Dir Rpr Ruptd Aneurysm Splenic Artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,830.22 / $2,071.26 / $4,806.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,198.75 / $2,691.56 / $3,004.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,903.83 / $2,542.55 / $6,152.65
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,559.71 / $2,915.45 / $3,102.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $2,431.77 / $2,709.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,915.46 / $3,189.20 / $3,230.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $15,298.00 / $26,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,713.90 / $2,496.16 / $3,960.60