go back

West Virginia 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
$1,400.00 / $1,726.35 / $1,726.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,726.35 / $1,801.74 / $1,987.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,720.62 / $1,988.51 / $2,166.52
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,925.80 / $1,925.80 / $1,925.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,847.95 / $1,847.95 / $1,847.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,523.23 / $2,552.03 / $9,752.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,397.68 / $1,921.81 / $3,063.78