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Utah 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
$2,593.65 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,593.65 / $2,593.65 / $4,650.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,157.31 / $2,328.73 / $2,551.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.31 / $1,022.71 / $1,495.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,013.88 / $3,186.77 / $4,772.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.00 / $2,446.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,516.02 / $1,936.00 / $3,307.69