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Ohio 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
$1,801.74 / $6,582.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,801.74 / $1,801.74 / $3,545.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,084.00 / $4,426.00 / $19,117.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,231.92 / $1,770.17 / $2,942.81
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,569.46 / $2,285.33 / $2,885.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,415.69 / $1,692.55 / $3,000.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,376.13 / $2,154.15 / $3,404.60
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,487.11 / $2,173.73 / $3,404.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.16 / $1,388.98 / $2,125.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,480.00 / $3,086.00 / $6,792.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,675.30 / $2,228.02 / $3,526.28