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Delaware 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
$6,907.00 / $6,907.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,085.23 / $2,085.23 / $2,227.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,810.52 / $2,430.56 / $3,139.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,904.67 / $2,185.77 / $4,410.82