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Rhode Island 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
$3,706.14 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,079.73 / $1,969.42 / $2,172.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,718.24 / $2,021.46 / $3,241.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,626.67 / $2,332.61 / $3,575.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,649.00 / $4,915.00 / $7,205.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,788.70 / $2,260.03 / $3,486.55