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Washington, DC 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
$1,017.00 / $1,921.77 / $7,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,921.77 / $1,921.77 / $1,921.77
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,772.83 / $1,880.19 / $2,380.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,447.93 / $2,084.17 / $3,957.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,432.03 / $3,432.03 / $3,432.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.00 / $1,319.00 / $16,382.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,475.22 / $2,305.04 / $4,627.22