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Alaska rates for HCPCS 35121

Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, hepatic, celiac, renal, or mesenteric artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,576.89 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,967.25 / $8,790.86 / $8,790.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,407.80 / $5,407.80 / $5,407.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,926.74 / $8,790.86 / $12,570.93
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,752.20 / $9,744.00 / $12,641.85
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,800.00 / $6,728.00 / $10,770.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,926.74 / $8,790.86 / $12,570.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,605.98 / $6,891.00 / $10,979.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,326.24 / $6,489.36 / $10,398.07