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Missouri 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
$1,760.00 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,509.57 / $1,888.04 / $1,969.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,279.00 / $10,043.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,690.75 / $2,155.00 / $3,321.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,501.32 / $2,327.53 / $4,445.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,506.56 / $11,043.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,657.96 / $3,126.60 / $11,104.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $3,233.00 / $11,343.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,657.96 / $2,513.65 / $4,651.88