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Alaska rates for HCPCS 35122

Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for ruptured aneurysm, hepatic, celiac, renal, or mesenteric artery

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $12,022.64 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $2,398.83 / $10,471.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,456.54 / $6,456.54 / $6,456.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $2,754.23 / $14,791.08
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,265.80 / $5,495.41 / $12,882.50
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,918.31 / $7,413.10 / $10,471.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $10,471.29 / $15,135.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $1,819.70 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $7,413.10 / $12,022.64