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Wyoming 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
$1,558.62 / $1,558.62 / $1,558.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,561.00 / $4,016.00 / $4,819.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,338.07 / $2,371.98 / $3,937.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $3,239.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,043.06 / $5,139.68 / $6,706.92