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Maine 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
Professional
Modifier
Low / Median / High Price
$1,861.53 / $2,348.57 / $2,348.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,633.95 / $2,003.55 / $3,125.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,974.93 / $2,348.57 / $3,276.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,718.19 / $1,912.61 / $2,976.02
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,861.53 / $2,348.57 / $2,348.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,787.65 / $2,345.87 / $2,964.98