go back

Missouri 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
$1,760.00 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,560.34 / $1,952.32 / $2,036.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,279.00 / $10,043.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,632.81 / $2,129.00 / $3,330.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,552.14 / $2,393.96 / $4,389.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,520.00 / $11,043.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,713.90 / $3,166.15 / $11,481.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $3,233.00 / $11,343.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,713.90 / $2,649.38 / $5,024.93