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Idaho 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
$4,466.84 / $5,495.41 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,398.83 / $5,623.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,762.47 / $8,511.38 / $12,022.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,951.21 / $3,467.37 / $3,548.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $3,090.30 / $3,715.35
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $3,715.35 / $5,623.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,818.38 / $3,235.94 / $3,981.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $3,715.35 / $3,890.45
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,548.82 / $3,801.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $15,488.17 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,818.38 / $4,365.16