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Florida 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
$1,500.00 / $5,839.00 / $11,576.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,658.30 / $2,034.76 / $3,294.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $400.00 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,695.59 / $2,582.39 / $4,335.71
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,624.00 / $21,162.00 / $32,051.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.67 / $1,438.58 / $2,901.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.57 / $1,818.81 / $2,429.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$677.00 / $5,417.00 / $13,093.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,720.22 / $2,484.48 / $4,340.54
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,415.52 / $1,415.52 / $1,415.52