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Washington, DC 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
$1,017.00 / $2,080.00 / $7,727.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,295.87 / $2,295.87 / $2,295.87
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,119.31 / $2,429.32 / $2,647.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,729.12 / $2,621.60 / $4,729.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,102.78 / $4,102.78 / $4,102.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.00 / $1,319.00 / $16,382.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,763.69 / $2,755.76 / $5,531.56